=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134032956
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAMMY LEIGH BURR RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3945 WASHINGTON BLVD
-----------------------------------------------------
City | OGDEN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84403-1988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-479-4105
-----------------------------------------------------
Fax | 801-584-2590
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2235 OAK FOREST DR
-----------------------------------------------------
City | LAYTON
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84040-7950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-479-4105
-----------------------------------------------------
Fax | 801-584-2590
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP2201X
-----------------------------------------------------
Taxonomy Name | Ambulatory Care Registered Nurse
-----------------------------------------------------
License Number | 9403051-3102
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------