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NPI Code Detail

MEDICARE: DR. BRENDA BURNETT PMHNP

MEDICARE: DR. BRENDA BURNETT PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95002453CA

General Provider Information

NPI Number : 1568841435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENDA BURNETT PMHNP
Provider Business Mailing Address
First Line : 5551 WATERFALL TRL
Second Line :
City : GREENWOOD
State : CA
Zip : 95635-9506
Country : US
Telephone Number : 641-351-1586
Fax Number :
Provider Business Practice Location Address
First Line : 4250 AUBURN BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4100
Country : US
Telephone Number : 916-489-3336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 06/02/2016

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