Healthcare Provider Details

I. General information

NPI: 1730623067
Provider Name (Legal Business Name): SUNNI L BURNETT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 09/12/2025
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ALTAIR PKWY STE 3100
WESTERVILLE OH
43082-7653
US

IV. Provider business mailing address

400 ALTAIR PKWY STE 3100
WESTERVILLE OH
43082-7653
US

V. Phone/Fax

Practice location:
  • Phone: 614-360-9995
  • Fax: 614-745-0165
Mailing address:
  • Phone: 614-360-9995
  • Fax: 614-745-0165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number57835
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020240
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: