Burns, Marleen Louise

Burns, Marleen Louise is an individual health care provider with primary practice located at 333 Salem Pl , Fairview Heights IL 62208-1341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burns, Marleen Louise can be contacted via phone (618) 632-0304.

Contact Information

Primary practice address
333 Salem Pl Fairview Heights IL 62208-1341
Phone: (618) 632-0304
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.025566 Illinois

Profile Details

NPI number 1770654493
LBN Legal business name Burns, Marleen Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 31st, 2023 - about last year

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 1770654493 NPPES
Kentucky MEDICAID 78002482
Kentucky Other 0576302

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