Angela Burton
Individual provider Active NPI Registered Nurse · Burton, MI
NPI 1316337405 · NPPES record last updated Jan 28, 2015
Key facts
- NPI
- 1316337405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 102204 (SC)
- Practice address
- 8204 Blackberry CRK
Burton, MI 48519-1948 - Phone
- (843) 291-1111
- NPI assigned
- Jan 28, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102204 | SC | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 102204 | SC | Yes |
Addresses
Primary practice location
8204 Blackberry CRK
Burton, MI 48519-1948
Mailing address
8204 Blackberry CRK
Burton, MI 48519-1948
Phone (843) 291-1111
Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2015. 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.