Patricia Marie Bursch, RNSA
Individual provider Active NPI Medical-Surgical Registered Nurse · Enumclaw, WA
NPI 1669625083 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1669625083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 00058788 (WA)
- Practice address
- 2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373 - Phone
- (360) 825-7500
- Fax
- (360) 825-3370
- NPI assigned
- Oct 29, 2008
- 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 |
|---|---|---|---|
| 00058788 | WA | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 00058788 | WA | Yes |
Addresses
Primary practice location
2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373
Mailing address
2820 Griffin Ave Ste 210
Enumclaw, WA 98022-2373
Phone (360) 825-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032165 | Other | WA | LABOR & INDUSTRIES |
Other providers in Enumclaw, WA
- Nora Eileen Branson
- Sarah Brenner
- Bridging Medicine PLLC
- Lorrie L Bright
- Richard D Bryant
- Travis David Burt
- Douglas Allan Camp
- Angelea Sloan Campeau
- Samuel E Cargill
- Tricia Carlino
All providers in Enumclaw, WA · Medical-Surgical Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. 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.