Roberta Burr, CNA
Individual provider Active NPI Nurse's Aide · Brinson, GA
NPI 1922469766 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1922469766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- CN 0000032703 (GA)
- Practice address
- 230 Beaver Cir
Brinson, GA 39825-1920 - Phone
- (229) 205-2842
- NPI assigned
- Mar 7, 2016
- 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 |
|---|---|---|---|
| CN 0000032703 | GA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN 0000032703 | GA | Yes |
Addresses
Primary practice location
230 Beaver Cir
Brinson, GA 39825-1920
Mailing address
230 Beaver Cir
Brinson, GA 39825-1920
Phone (229) 205-2842
Other providers in Brinson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. 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.