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NPI Code Detail

MEDICARE: BURDETT M. ROONEY ARNP, FNP-C

MEDICARE: BURDETT M. ROONEY ARNP, FNP-C
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 PractitionerAP30006819WA

General Provider Information

NPI Number : 1518907393
Entity Type Code : Individual
Provider Name (Legal Business Name) : BURDETT M. ROONEY ARNP, FNP-C
Provider Business Mailing Address
First Line : PO BOX 3835
Second Line :
City : SEATTLE
State : WA
Zip : 98124-3835
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-762-6355
Provider Business Practice Location Address
First Line : 10030 SW 210TH ST
Second Line :
City : VASHON
State : WA
Zip : 98070-6584
Country : US
Telephone Number : 206-463-3671
Fax Number : 206-463-3613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/21/2019

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