Healthcare Provider Details

I. General information

NPI: 1457961260
Provider Name (Legal Business Name): SUNNY RENEE BURDICK AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUNNY RENEE BURDICK SUNNY BARTHA

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 S CRESCENT DR STE 100
MASON CITY IA
50401-2910
US

IV. Provider business mailing address

250 S CRESCENT DR STE 100
MASON CITY IA
50401-2910
US

V. Phone/Fax

Practice location:
  • Phone: 641-494-5180
  • Fax: 641-494-5185
Mailing address:
  • Phone: 641-494-5180
  • Fax: 641-494-5185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number139373
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: