MEDICARE: WHITNEY BURROUGHS 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	363LW0102X	Women's Health Nurse Practitioner	420778	NY

General Provider Information

NPI Number	:	1417072836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY BURROUGHS NP

Provider Business Mailing Address
First Line	:	1833 FILLMORE ST
Second Line	:	3RD FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3180
Country	:	US
Telephone Number	:	415-379-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 FILLMORE ST
Second Line	:	3RD FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3180
Country	:	US
Telephone Number	:	415-379-7800
Fax Number	:

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

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	02/05/2015

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