MEDICARE: MICHELE L BURTNER CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	1278	NY
2	367A00000X	Advanced Practice Midwife	F001278-1	NY

General Provider Information

NPI Number	:	1003849522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE L BURTNER CNM

Provider Business Mailing Address
First Line	:	905 CULVER RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-7115
Country	:	US
Telephone Number	:	585-275-7892
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 CULVER RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-7115
Country	:	US
Telephone Number	:	585-275-7892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	07/05/2023

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Directions to “ MICHELE L BURTNER CNM” Practice Location

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