Burbank, Heidi L

Burbank, Heidi L is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5503. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Burbank, Heidi L can be contacted via phone (603) 431-6703.

Contact Information

Primary practice address
1145 Sagamore Ave Portsmouth NH 03801-5503
Fax: (603) 433-5093
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R037003 Maine

Profile Details

NPI number 1922281435
LBN Legal business name Burbank, Heidi L
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922281435 NPPES
New Hampshire MEDICAID 99003227

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