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NPI Code Detail

MEDICARE: MARIE BURNS ABSN, RN

MEDICARE: MARIE BURNS ABSN, RN
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
1163W00000XRegistered Nurse10009322OR
2171M00000XCase Manager/Care Coordinator
3101YM0800XMental Health Counselor
4163W00000XRegistered NurseRN61466431WA

General Provider Information

NPI Number : 1205196797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE BURNS ABSN, RN
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number : 206-543-9146
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-7263
Country : US
Telephone Number : 206-543-9146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 09/20/2023

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