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NPI Code Detail

MEDICARE: ROBIN BURNS LPN

MEDICARE: ROBIN BURNS LPN
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
1164W00000XLicensed Practical Nurse0002045973VA

General Provider Information

NPI Number : 1760841555
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN BURNS LPN
Provider Business Mailing Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8500
Fax Number : 804-727-8580
Provider Business Practice Location Address
First Line : 4825 S LABURNUM AVE
Second Line :
City : HENRICO
State : VA
Zip : 23231-2713
Country : US
Telephone Number : 804-727-8100
Fax Number : 804-236-9118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2016
Last Update Date : 02/22/2016

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Directions to “ ROBIN BURNS LPN” Practice Location

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