Burnham, Mark

Burnham, Mark is an individual health care provider with primary practice located at 3500 Twin Peaks Blvd , Farmington NM 87401-8515. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / School. Nursing Service Providers / School is his primary health care specialty. Burnham, Mark can be contacted via phone (505) 599-8613.

Contact Information

Primary practice address
3500 Twin Peaks Blvd Farmington NM 87401-8515
Phone: (505) 599-8613
Fax: (877) 867-1749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN-77826 New Mexico
Nursing Service Providers / School 163WS0200X 372972 New Mexico

Profile Details

NPI number 1033664073
LBN Legal business name Burnham, Mark
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - about 8 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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