MEDICARE: FRANCES M BURNS NP

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	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	0024168701	VA
2	163W00000X	Registered Nurse	0001223548	VA
3	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	26NJ00058900	NJ

General Provider Information

NPI Number	:	1083688766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES M BURNS NP

Provider Business Mailing Address
First Line	:	415 ROUTE 9
Second Line	:	SUITE 2A
City	:	LANOKA HARBOR
State	:	NJ
Zip	:	08734-2848
Country	:	US
Telephone Number	:	609-693-1125
Fax Number	:	609-693-1128

Provider Business Practice Location Address
First Line	:	415 ROUTE 9
Second Line	:	SUITE 2A
City	:	LANOKA HARBOR
State	:	NJ
Zip	:	08734-2848
Country	:	US
Telephone Number	:	609-693-1125
Fax Number	:	609-693-1128

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	05/10/2011

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