| Doctor Name: | CAROLYN BURNHAM |
| NPI Number: | 1366803140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 633524 |
| Business Practice Address: | 157 Brentwood Drive Lake Arrowhead, CA - 92352 |
| Business Phone Number: | 9518528560 |
| Business Fax Number: | |
| Mailing Address: | Po Box 332, RIMFOREST |
| State: | CA |
| Postal Code: | 923780332 |
| Phone Number: | 9518528560 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2016 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0002X |
| License Number: | 633524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neonatal Intensive Care |
| Taxonomy Definition: | |