Healthcare Provider Details

I. General information

NPI: 1073137097
Provider Name (Legal Business Name): PAGE RENEE BURNS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2020
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR STE 5200
ASHEVILLE NC
28801-0334
US

IV. Provider business mailing address

1 HOSPITAL DR STE 5200
ASHEVILLE NC
28801-0334
US

V. Phone/Fax

Practice location:
  • Phone: 828-779-0067
  • Fax:
Mailing address:
  • Phone: 828-779-0067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-13552
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0010-13552
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number0010-13552
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: