Healthcare Provider Details

I. General information

NPI: 1780800342
Provider Name (Legal Business Name): DEBRA ELAINE BURNS ANP,C GNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CHAPEL SQ UNIT D-102
AVON CO
81620-6497
US

IV. Provider business mailing address

1905 BLAKE AVE SUITE 101
GLENWOOD SPRINGS CO
81601-4288
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2840
  • Fax:
Mailing address:
  • Phone: 970-945-2840
  • Fax: 970-945-2893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number93251
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: