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NPI Code Detail

MEDICARE: KRISTINE J BURNS A.R.N.P.

MEDICARE: KRISTINE J BURNS A.R.N.P.
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
1363L00000XNurse PractitionerA061001IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538141205
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE J BURNS A.R.N.P.
Provider Business Mailing Address
First Line : 3600 30TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50310-5753
Country : US
Telephone Number : 515-699-5857
Fax Number :
Provider Business Practice Location Address
First Line : 3600 30TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50310-5753
Country : US
Telephone Number : 515-699-5857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/17/2018

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