Healthcare Provider Details

I. General information

NPI: 1861898280
Provider Name (Legal Business Name): HEATHER NICOLE BURRIER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2823 9TH ST. SW CEDAR SCHOOL
CANTON OH
44710
US

IV. Provider business mailing address

2823 9TH ST. SW CEDAR SCHOOL
CANTON OH
44710
US

V. Phone/Fax

Practice location:
  • Phone: 330-580-3502
  • Fax:
Mailing address:
  • Phone: 330-580-3502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN280114
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: