Healthcare Provider Details

I. General information

NPI: 1245405364
Provider Name (Legal Business Name): ARDA BEATRICE BURNETT CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 W 33RD AVE
DENVER CO
80211-0000
US

IV. Provider business mailing address

2829 W 33RD AVE
DENVER CO
80211-3231
US

V. Phone/Fax

Practice location:
  • Phone: 303-433-3944
  • Fax: 303-433-9717
Mailing address:
  • Phone: 303-433-3944
  • Fax: 303-433-9717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: