Individual
MS. DONNAMARIE BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP -BC
Contact information
Practice address
5859 W TALAVI BLVD, STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(623) 930-6060
Mailing address
5859 W TALAVI BLVD, GLENDALE, AZ 85306-1869
(602) 298-7777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9983
AZ
363LF0000X
Family Nurse Practitioner
COA.15390-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272578
—
AZ
01
—
Z201835
MEDICARE PTAN
AZ
01
—
Z212194
MEDICARE PTAN
AZ
Enumeration date
01/02/2014
Last updated
07/21/2022
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