Provider Demographics
NPI:1003136417
Name:BURNS, SHERYL A (ACNP, PNP)
Entity Type:Individual
Prefix:MISS
First Name:SHERYL
Middle Name:A
Last Name:BURNS
Suffix:
Gender:F
Credentials:ACNP, PNP
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:A
Other - Last Name:MCKINNON (MAIDEN NAME)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 BROMFIELD ST
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3084
Mailing Address - Country:US
Mailing Address - Phone:978-499-0046
Mailing Address - Fax:
Practice Address - Street 1:500 LYNNFIELD ST
Practice Address - Street 2:PULMONARY PHYSICIANS, P.C.
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1424
Practice Address - Country:US
Practice Address - Phone:781-595-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152536363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine