Burdick, Debra Anne

Burdick, Debra Anne is an individual health care provider with primary practice located at 3960 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burdick, Debra Anne can be contacted via phone (763) 236-9236.

Contact Information

Primary practice address
3960 Coon Rapids Blvd Nw Coon Rapids MN 55433-2569
Phone: (763) 236-9236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R 095751-9 Minnesota

Profile Details

NPI number 1427014240
LBN Legal business name Burdick, Debra Anne
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 10th, 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 1427014240 NPPES
Minnesota MEDICAID 050042900

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