Healthcare Provider Details

I. General information

NPI: 1508780537
Provider Name (Legal Business Name): EMILY ANN BURTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 LIVERPOOL RD
CLANCY MT
59634-9711
US

IV. Provider business mailing address

51 LIVERPOOL RD
CLANCY MT
59634-9711
US

V. Phone/Fax

Practice location:
  • Phone: 406-459-2509
  • Fax:
Mailing address:
  • Phone: 406-459-2509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number10019142
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRNLIC28482
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: