Healthcare Provider Details

I. General information

NPI: 1821542291
Provider Name (Legal Business Name): MARGARET BURR NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 09/08/2020
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 BELMONT AVE STE 19B
YOUNGSTOWN OH
44505-1439
US

IV. Provider business mailing address

7206 MARKET ST STE 100A
BOARDMAN OH
44512-4507
US

V. Phone/Fax

Practice location:
  • Phone: 330-222-4030
  • Fax:
Mailing address:
  • Phone: 330-726-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.019653
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.019653
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: