Kristen Jean Burns, FNP-C | |
1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 | |
(803) 631-2858 | |
(803) 631-2862 |
Full Name | Kristen Jean Burns |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1200 Village Harbor Dr, Lake Wylie, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164504429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0050-02299 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 109057 (South Carolina) | Primary |
Entity Name | Minuteclinic Diagnostic Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
Mailing Address | Practice Location Address |
---|---|
Kristen Jean Burns, FNP-C 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 Ph: (803) 631-2858 | Kristen Jean Burns, FNP-C 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 Ph: (803) 631-2858 |
Mrs. Freedom Lee Proctor, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1516 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-752-4200 Fax: 803-752-4300 | |
Amanda C Ivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Village Harbor Dr, Lake Wylie, SC 29710 Phone: 803-631-2858 Fax: 803-631-2862 |