| Burds Family Practice | |
|
8411 Peosta Commercial Ct Peosta IA 52068 | |
| (563) 588-6659 | |
| Not Available |
| Full Name | Burds Family Practice |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8411 Peosta Commercial Ct, Peosta, Iowa |
| Authorized Official Name and Position | Jennifer Marie Burds (OWNER) |
| Authorized Official Contact | 5634513273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burds Family Practice 10768 Cox Springs Rd Peosta IA 52068-9649 Ph: (563) 451-3273 | Burds Family Practice 8411 Peosta Commercial Ct Peosta IA 52068 Ph: (563) 588-6659 |
| NPI Number | 1194432864 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 5597138735 |
|---|---|
| Medicare Enrollment ID | O20230308002747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194432864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Burds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639433030 PECOS PAC ID: 4587811922 Enrollment ID: I20120820001161 |
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