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NPI Code Detail

MEDICARE: CHRISTOPHER D BURNS N.P.

MEDICARE:   CHRISTOPHER D BURNS  N.P.
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
1174400000XSpecialistF0404180IN
2363LF0000XFamily Nurse Practitioner71001778AIN
3363LF0000XFamily Nurse PractitionerF0404180IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000342506OTHERINANTHEM PROVIDER NUMBER
2F0404180OTHERINNP LICENSE NUMBER

General Provider Information

NPI Number : 1700889722
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER D BURNS N.P.
Provider Business Mailing Address
First Line : 4137 S TURNING LEAF CT
Second Line :
City : NEW PALESTINE
State : IN
Zip : 46163-8652
Country : US
Telephone Number : 317-354-5674
Fax Number :
Provider Business Practice Location Address
First Line : 4137 S TURNING LEAF CT
Second Line :
City : NEW PALESTINE
State : IN
Zip : 46163-8652
Country : US
Telephone Number : 317-354-5674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 02/25/2013

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Directions to “ CHRISTOPHER D BURNS N.P.” Practice Location

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