Debbie Rose Burrous, LPN

Individual provider Active NPI Licensed Practical Nurse · Honeoye, NY

NPI 1477022473 · NPPES record last updated Nov 19, 2018

Key facts

NPI
1477022473
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
324585 (NY)
Practice address
8441 US RT 20a # O
Honeoye, NY 14471-9733
Phone
(585) 435-6608
NPI assigned
Nov 19, 2018
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

LicenseStateTypeSpecialty
324585NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 324585 NY Yes

Addresses

Primary practice location

8441 US RT 20a # O
Honeoye, NY 14471-9733

Mailing address

8441 US RT 20a
Honeoye, NY 14471-9733
Phone (585) 435-6608

Other providers in Honeoye, NY

All providers in Honeoye, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.