MEDICARE: MS. JOEL E BURNS 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
1	363LF0000X	Family Nurse Practitioner	6993	CT

General Provider Information

NPI Number	:	1720510472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOEL E BURNS FNP-C

Provider Business Mailing Address
First Line	:	3 LEXINGTON ST
Second Line	:
City	:	WETHERSFIELD
State	:	CT
Zip	:	06109-1229
Country	:	US
Telephone Number	:	860-335-5514
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 ASYLUM ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06103-3408
Country	:	US
Telephone Number	:	866-949-0108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	03/05/2023

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