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NPI Code Detail

MEDICARE: BELINDA ANN BURDEN FNP

MEDICARE: BELINDA ANN BURDEN FNP
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
1207Q00000XFamily Medicine Physician220777AR
2363LF0000XFamily Nurse PractitionerCNP.022674OH
3363LF0000XFamily Nurse Practitioner68482NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OOTHERNA

General Provider Information

NPI Number : 1609364934
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELINDA ANN BURDEN FNP
Provider Business Mailing Address
First Line : PO BOX 740018
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0018
Country : US
Telephone Number : 773-352-1517
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 1625 RIO BRAVO BLVD SW STE 36
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-6060
Country : US
Telephone Number : 505-777-3004
Fax Number : 505-808-4990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/25/2024

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Directions to “ BELINDA ANN BURDEN FNP” Practice Location

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