Individual
CHRISTOPHER D BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
4137 S TURNING LEAF CT, NEW PALESTINE, IN 46163-8652
(317) 354-5674
Mailing address
4137 S TURNING LEAF CT, NEW PALESTINE, IN 46163-8652
(317) 354-5674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F0404180
IN
363LF0000X
Family Nurse Practitioner
Primary
71001778A
IN
363LF0000X
Family Nurse Practitioner
F0404180
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342506
ANTHEM PROVIDER NUMBER
IN
01
—
F0404180
NP LICENSE NUMBER
IN
Enumeration date
05/23/2005
Last updated
02/25/2013
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