Healthcare Provider Details

I. General information

NPI: 1174287080
Provider Name (Legal Business Name): WHITNEY E BURCHFIELD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WHITNEY E FAUNCE

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N GAVIN ST
MUNCIE IN
47303-4167
US

IV. Provider business mailing address

6348 N MILWAUKEE AVE STE 390
CHICAGO IL
60646-3728
US

V. Phone/Fax

Practice location:
  • Phone: 847-235-6130
  • Fax: 847-235-6135
Mailing address:
  • Phone: 847-235-6130
  • Fax: 847-235-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71011494A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: