Healthcare Provider Details

I. General information

NPI: 1083688766
Provider Name (Legal Business Name): FRANCES M BURNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 ROUTE 9 SUITE 2A
LANOKA HARBOR NJ
08734-2848
US

IV. Provider business mailing address

415 ROUTE 9 SUITE 2A
LANOKA HARBOR NJ
08734-2848
US

V. Phone/Fax

Practice location:
  • Phone: 609-693-1125
  • Fax: 609-693-1128
Mailing address:
  • Phone: 609-693-1125
  • Fax: 609-693-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024168701
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001223548
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number26NJ00058900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: