1932201043 NPI number — ANN E. BURZYNSKI APRN

Table of content: DANIEL HORTON M.D. (NPI 1922091701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932201043 NPI number — ANN E. BURZYNSKI APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURZYNSKI
Provider First Name:
ANN
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932201043
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 647
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTPELIER
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05601-0647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-223-6328
Provider Business Mailing Address Fax Number:
802-229-8004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
286 HOSPITAL LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05602-9523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-229-0591
Provider Business Practice Location Address Fax Number:
802-223-3667
Provider Enumeration Date:
09/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SP0809X , with the licence number:  101.0035775 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163WP0808X , with the licence number: 101-0035775 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 989026B . This is a "MVP HEALTHCARE" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: P00448714 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 2208214 . This is a "CIGNA" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 1014128 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1932201043 . This is a "BLUE CROSS/BLUE SHIELD OF VERMONT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 405739 . This is a "MHN TRICARE" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com