Provider Demographics
NPI:1023219490
Name:BURLEW, ELIZABETH JEAN (APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JEAN
Last Name:BURLEW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1775 BROWNING WAY
Mailing Address - Street 2:STE 104
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801
Mailing Address - Country:US
Mailing Address - Phone:775-738-5100
Mailing Address - Fax:775-738-5115
Practice Address - Street 1:1775 BROWNING WAY
Practice Address - Street 2:STE 104
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8338
Practice Address - Country:US
Practice Address - Phone:775-738-5100
Practice Address - Fax:775-738-5115
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN001288363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner