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NPI Code Detail

MEDICARE: MS. VIRGINIA A BURNS RN

MEDICARE: MS. VIRGINIA A BURNS RN
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
1163WC0400XCase Management Registered Nurse217159-3102UT
2163WD0400XDiabetes Educator Registered Nurse217159-3102UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1217159-3102OTHERUTSTATE LICENSE

General Provider Information

NPI Number : 1932246725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIRGINIA A BURNS RN
Provider Business Mailing Address
First Line : 655 12TH AVE
Second Line :
City : SLC
State : UT
Zip : 84103-3215
Country : US
Telephone Number : 801-718-8007
Fax Number : 801-464-7877
Provider Business Practice Location Address
First Line : 2000 S 900 E
Second Line :
City : SLC
State : UT
Zip : 84105-3208
Country : US
Telephone Number : 801-464-7854
Fax Number : 801-464-7877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 09/11/2025

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