Individual
BRENDA KAY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 575-8996
(719) 578-3234
Mailing address
6623 MESEDGE DR, COLORADO SPRINGS, CO 80919-1817
(719) 277-7031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18959822
—
CO
Enumeration date
01/16/2007
Last updated
07/08/2007
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