Individual
MRS. LAURIE JENAY BURNWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20715 E OCOTILLO RD STE 102, QUEEN CREEK, AZ 85142-6118
(480) 877-0901
(480) 987-0940
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6759
AZ
363AM0700X
Medical Physician Assistant
Primary
6759
AZ
Other
Enumeration date
02/20/2013
Last updated
09/10/2025
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