Healthcare Provider Details

I. General information

NPI: 1487044194
Provider Name (Legal Business Name): ERICA J BURNS CNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 S RIO GRANDE AVE STE 300
MONTROSE CO
81401-4850
US

IV. Provider business mailing address

2303 S TOWNSEND AVE STE A
MONTROSE CO
81401-5452
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-7751
  • Fax: 970-249-5029
Mailing address:
  • Phone: 970-249-7751
  • Fax: 970-249-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02613
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0002233-C-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-81072
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: