Individual
DR. VIRGINIA DEANN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4345 SENNA DR, LAS CRUCES, NM 88011
(575) 636-8854
Mailing address
1300G EL PASEO RD # 308, LAS CRUCES, NM 88001-6024
(575) 636-8854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A-1750-13
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312538YRND
MEDICARE
NM
05
—
38607051
—
NM
Enumeration date
05/15/2007
Last updated
02/01/2021
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