Healthcare Provider Details

I. General information

NPI: 1740940451
Provider Name (Legal Business Name): KRISTA NICOLE BURNS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 N VICTORIA AVE
OXNARD CA
93036-7791
US

IV. Provider business mailing address

2150 N VICTORIA AVE
OXNARD CA
93036-7791
US

V. Phone/Fax

Practice location:
  • Phone: 805-382-6296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number689605
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95382111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: