MEDICARE: PERI ELIZABETH BURNS APRN-CNM

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	367A00000X	Advanced Practice Midwife	1233142	TX

General Provider Information

NPI Number	:	1457288755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERI ELIZABETH BURNS APRN-CNM

Provider Business Mailing Address
First Line	:	10154 CHESTERTON DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-2102
Country	:	US
Telephone Number	:	214-418-4383
Fax Number	:

Provider Business Practice Location Address
First Line	:	7453 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	214-418-4383
Fax Number	:

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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