Healthcare Provider Details

I. General information

NPI: 1043441009
Provider Name (Legal Business Name): ERIN C. BURNETTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 LAKE BOONE TRL
RALEIGH NC
27607-7513
US

IV. Provider business mailing address

224 S BEND DR
DURHAM NC
27713-6163
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-5510
  • Fax:
Mailing address:
  • Phone: 919-484-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number183499
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number5004458
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5004458
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: