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NPI Code Detail

MEDICARE: DEBORAH BURCHARD NP

MEDICARE: DEBORAH BURCHARD 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
1363LF0000XFamily Nurse Practitioner0024093601VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346217205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH BURCHARD NP
Provider Business Mailing Address
First Line : 347 CLOVER HOLLOW RD
Second Line :
City : NEWPORT
State : VA
Zip : 24128-4130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 TYLER RD
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-6374
Country : US
Telephone Number : 540-731-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 03/13/2008

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