Burroughs, Tilly
Burroughs, Tilly is an individual health care provider with primary practice located at 1114 56Th St , Kenosha WI 53140-3668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Burroughs, Tilly can be contacted via phone (262) 725-4426.Contact Information
Primary practice address
1114 56Th St
Kenosha WI 53140-3668
Phone: (262) 725-4426
Fax: (262) 299-7136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13216-33 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13216-33 | Wisconsin |
Profile Details
NPI number | 1669109641 |
---|---|
LBN Legal business name | Burroughs, Tilly |
Credentials | APNP, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2022 |
Last updated | Feb 20th, 2023 - about 2 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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