Healthcare Provider Details

I. General information

NPI: 1093337701
Provider Name (Legal Business Name): HEATHER DAWN BURNS DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MED CENTER CIR STE A
PITTSBURG KS
66762-6711
US

IV. Provider business mailing address

1610 WOODLAND TER
PITTSBURG KS
66762-5553
US

V. Phone/Fax

Practice location:
  • Phone: 620-235-7605
  • Fax:
Mailing address:
  • Phone: 620-249-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-79461-062
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: