Healthcare Provider Details

I. General information

NPI: 1356275176
Provider Name (Legal Business Name): RUNIQA EUGENIA BURDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 INVESTORS PL STE 104
VIRGINIA BEACH VA
23452-1168
US

IV. Provider business mailing address

424 INVESTORS PL STE 104
VIRGINIA BEACH VA
23452-1168
US

V. Phone/Fax

Practice location:
  • Phone: 757-731-9816
  • Fax:
Mailing address:
  • Phone: 757-731-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number1401226739
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: