Healthcare Provider Details

I. General information

NPI: 1457287484
Provider Name (Legal Business Name): LAUREN S BURNETT DNP-FNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 PHILOSOPHERS TER STE 101
CHESTERTOWN MD
21620-1722
US

IV. Provider business mailing address

309 WASHINGTON AVE
CHESTERTOWN MD
21620-1416
US

V. Phone/Fax

Practice location:
  • Phone: 443-215-5353
  • Fax:
Mailing address:
  • Phone: 540-760-2519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR248596
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: