Provider Demographics
NPI:1114021755
Name:BURNS, GRETCHEN H (MS, RNC, APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:H
Last Name:BURNS
Suffix:
Gender:F
Credentials:MS, RNC, APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 JAY ROAD
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6115
Mailing Address - Country:US
Mailing Address - Phone:202-782-3449
Mailing Address - Fax:202-782-0759
Practice Address - Street 1:6900 GEORGIA AVE.,NW
Practice Address - Street 2:WALTER REED ARMY MEDICAL CENTER, 5C, GENERAL SURGERY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-3449
Practice Address - Fax:202-782-0759
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR102152363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health