Burchianti, Teena Maria

Burchianti, Teena Maria is an individual health care provider with primary practice located at 2015 Jefferson St , Jacksonville FL 32206-3531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Burchianti, Teena Maria can be contacted via phone (904) 588-1800.

Contact Information

Primary practice address
2015 Jefferson St Jacksonville FL 32206-3531
Phone: (904) 588-1800
Fax: (904) 588-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2743102 Florida

Profile Details

NPI number 1649230301
LBN Legal business name Burchianti, Teena Maria
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 27th, 2011 - about 13 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 1649230301 NPPES
Georgia MEDICAID 326712903A
Georgia MEDICAID 3052699-00

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