MEDICARE: WHITNEY E BURCHFIELD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	71011494A	IN

General Provider Information

NPI Number	:	1174287080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY E BURCHFIELD NP

Provider Business Mailing Address
First Line	:	6348 N MILWAUKEE AVE STE 390
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-3728
Country	:	US
Telephone Number	:	847-235-6130
Fax Number	:	847-235-6135

Provider Business Practice Location Address
First Line	:	505 N GAVIN ST
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-4167
Country	:	US
Telephone Number	:	847-235-6130
Fax Number	:	847-235-6135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	12/08/2025

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