Doctor Name: | MRS. ANNA NELL BURTON |
NPI Number: | 1164799607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 651502 |
Business Practice Address: | 997 W Interstate 20 Colorado City, TX - 795122685 |
Business Phone Number: | 3257282693 |
Business Fax Number: | 3257282420 |
Mailing Address: | 997 West Interstate 20, COLORADO CITY |
State: | TX |
Postal Code: | 795122685 |
Phone Number: | 3257282693 |
Fax Number: | 3257282420 |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 651502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |