| Doctor Name: | DEBRA KAY BURGER-BULAWA |
| NPI Number: | 1689988065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 371126 |
| Business Practice Address: | 11400 Pleasant Valley Rd Penn Valley, CA - 959469001 |
| Business Phone Number: | 5304327023 |
| Business Fax Number: | 5304327026 |
| Mailing Address: | Po Box 459001, GRASS VALLEY |
| State: | CA |
| Postal Code: | 959459101 |
| Phone Number: | 5302729788 |
| Fax Number: | 5302720156 |
| NPI Enumeration Date: | 07/28/2010 |
| NPI Last Update Date: | 07/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 371126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |