Healthcare Provider Details

I. General information

NPI: 1184472300
Provider Name (Legal Business Name): BARBARA J BURNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 08/20/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 N CENTRAL AVE STE 1200
PHOENIX AZ
85012-2745
US

IV. Provider business mailing address

3030 N CENTRAL AVE STE 1200
PHOENIX AZ
85012-2745
US

V. Phone/Fax

Practice location:
  • Phone: 480-607-0606
  • Fax:
Mailing address:
  • Phone: 480-607-0606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number306182
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: