| Doctor Name: | AMIE A BURNS |
| NPI Number: | 1104062124 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209007397 |
| Business Practice Address: | 1573 N Cline Ave Griffith, IN - 463191567 |
| Business Phone Number: | 2198382311 |
| Business Fax Number: | |
| Mailing Address: | 1040 Sierra Dr, Suite 400 GREENWOOD |
| State: | IN |
| Postal Code: | 461437240 |
| Phone Number: | 3175284886 |
| Fax Number: | 3178598239 |
| NPI Enumeration Date: | 12/22/2008 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209007397 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |