Burch, Mary Rose

Burch, Mary Rose is an individual health care provider with primary practice located at 1501 Trousdale Dr 4Th Floor, Burlingame CA 94010-4506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burch, Mary Rose can be contacted via phone (650) 652-8520.

Contact Information

Primary practice address
1501 Trousdale Dr 4Th Floor Burlingame CA 94010-4506
Phone: (650) 652-8520
Fax: (650) 652-8512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F338010-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95000723 California

Profile Details

NPI number 1770922098
LBN Legal business name Burch, Mary Rose
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated May 29th, 2020 - about 4 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 1770922098 NPPES
New York MEDICAID 03688117

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