Burdett, V Renee

Burdett, V Renee is an individual health care provider with primary practice located at 13649 Office Place Suite 102, Woodbridge VA 22192. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Burdett, V Renee can be contacted via phone (703) 670-5738.

Contact Information

Primary practice address
13649 Office Place Suite 102 Woodbridge VA 22192
Fax: (703) 670-8213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101046586 Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101046586 Virginia

Profile Details

NPI number 1821168212
LBN Legal business name Burdett, V Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 16th, 2020 - about 5 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 1821168212 NPPES
Virginia Other 256399 ANTHEM BC BS

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