Individual
MRS. MARSHA SHENNUM BURNS
Active
Individual
MRS. MARSHA SHENNUM BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
050478-23
NH
363LG0600X
Gerontology Nurse Practitioner
194415
MA
363LG0600X
Gerontology Nurse Practitioner
201401568NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
60399098-NP
WA
Other
Enumeration date
04/24/2009
Last updated
06/12/2014
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