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NPI Code Detail

MEDICARE: MRS. ODAYSIA VIRGINIA BURTON-GARLAND R.N.

MEDICARE: MRS. ODAYSIA VIRGINIA BURTON-GARLAND R.N.
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
1164W00000XLicensed Practical Nurse635395-1NY
2163W00000XRegistered Nurse635395-1NY

General Provider Information

NPI Number : 1073813465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ODAYSIA VIRGINIA BURTON-GARLAND R.N.
Provider Business Mailing Address
First Line : 32 DE VOE DRIVE
Second Line :
City : ALBANY
State : NY
Zip : 12205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 CORPORATE WOODS BLVD
Second Line :
City : ALBANY
State : NY
Zip : 12211-2345
Country : US
Telephone Number : 518-701-6726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2010
Last Update Date : 08/23/2017

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Directions to “ MRS. ODAYSIA VIRGINIA BURTON-GARLAND R.N.” Practice Location

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