Individual
MARK DOUGLAS BURNS
Active
Individual
MARK DOUGLAS BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1230
MN
367500000X
Certified Registered Nurse Anesthetist
165395-30
WI
367500000X
Certified Registered Nurse Anesthetist
R132680-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711178900
—
MN
Enumeration date
06/06/2006
Last updated
12/21/2020
Update your record
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