Healthcare Provider Details

I. General information

NPI: 1033316229
Provider Name (Legal Business Name): GEORGE A BURNSTEIN JR. R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 MOLLER AVE
SITKA AK
99835-7142
US

IV. Provider business mailing address

104 KNUTSON DR
SITKA AK
99835-9783
US

V. Phone/Fax

Practice location:
  • Phone: 907-747-3241
  • Fax:
Mailing address:
  • Phone: 907-738-3838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number083039824RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number27684
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberNUR R 27684
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: