Individual
DEANNA E BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3030 RANDOLPH RD, SUITE 200, CHARLOTTE, NC 28211-1368
(704) 302-8200
(704) 302-8201
Mailing address
PO BOX 60063, CHARLOTTE, NC 28260-0063
(704) 302-8200
(704) 302-8201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004512
—
NC
Enumeration date
08/16/2006
Last updated
02/05/2013
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