Michele Burtner
Individual provider Active NPI Contractor · Elma, WA
NPI 1144844150 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1144844150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 36 Salvaggi LN
Elma, WA 98541-9063 - Phone
- (360) 470-1399
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | WA | Yes |
Addresses
Primary practice location
36 Salvaggi LN
Elma, WA 98541-9063
Mailing address
36 Salvaggi LN
Elma, WA 98541-9063
Phone (360) 470-1399
Other providers in Elma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.