Healthcare Provider Details

I. General information

NPI: 1477501583
Provider Name (Legal Business Name): ELIZABETH HELEN BURNS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FLETCHER ALLEN HEALTH CARE 111 COLCHESTER AVE
BURLINGTON VT
05401
US

IV. Provider business mailing address

108 CROSS PKWY
BURLINGTON VT
05401-5711
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-3979
  • Fax:
Mailing address:
  • Phone: 802-847-2345
  • Fax: 802-847-8232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9636
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: