Individual
BRENNA MCCARTNEY BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1139 GRANT ST, LONGMONT, CO 80501-3707
(919) 698-3960
Mailing address
1139 GRANT ST STE 300, LONGMONT, CO 80501-3707
(919) 698-3960
(828) 274-7407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196402
NC
367500000X
Certified Registered Nurse Anesthetist
082163
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0996116-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053555
—
NC
Enumeration date
06/25/2009
Last updated
08/04/2023
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