Individual
JILL E BURCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1555 N 17TH AVE, GREELEY, CO 80631-9117
(970) 304-6420
Mailing address
35510 WCR 31, EATON, CO 80615-8623
(970) 304-6420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
46307
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07463078
—
CO
Enumeration date
10/05/2005
Last updated
07/08/2007
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