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NPI Code Detail

MEDICARE: LADAWN RENEE BURROUS PNP

MEDICARE:   LADAWN RENEE BURROUS  PNP
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
1363LP0200XPediatric Nurse PractitionerRN124887AZ

General Provider Information

NPI Number : 1316195340
Entity Type Code : Individual
Provider Name (Legal Business Name) : LADAWN RENEE BURROUS PNP
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Provider Business Practice Location Address
First Line : 1500 W COMMERCE CT
Second Line :
City : TUCSON
State : AZ
Zip : 85746-6031
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 01/28/2025

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Directions to “ LADAWN RENEE BURROUS PNP” Practice Location

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