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NPI Code Detail

MEDICARE: MRS. AMY M BURTON APN

MEDICARE:  MRS. AMY M BURTON  APN
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
1363LF0000XFamily Nurse PractitionerA02981 ANPAR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15G546OTHERARMEDICARE GROUP PTAN
25V713G546OTHERARMEDICARE GROUP MEMBER PTAN
51982721882OTHERARMEDICARE GROUP NPI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41922122530OTHERARNPI

General Provider Information

NPI Number : 1922122530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY M BURTON APN
Provider Business Mailing Address
First Line : 600 CLUB LN
Second Line :
City : CONWAY
State : AR
Zip : 72034-3624
Country : US
Telephone Number : 501-327-0110
Fax Number : 501-327-0141
Provider Business Practice Location Address
First Line : 600 CLUB LN
Second Line :
City : CONWAY
State : AR
Zip : 72034-3624
Country : US
Telephone Number : 501-327-0110
Fax Number : 501-327-0141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/11/2025

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Directions to “ MRS. AMY M BURTON APN” Practice Location

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