MEDICARE: MS. CHRISTINE L BURNS WHNP

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	363L00000X	Nurse Practitioner	94009	NC

General Provider Information

NPI Number	:	1205891843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE L BURNS WHNP

Provider Business Mailing Address
First Line	:	527 S NEW HOPE RD
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-4040
Country	:	US
Telephone Number	:	704-854-3600
Fax Number	:	704-854-3619

Provider Business Practice Location Address
First Line	:	527 S NEW HOPE RD
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-4040
Country	:	US
Telephone Number	:	704-854-3600
Fax Number	:	704-854-3619

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	06/09/2014

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