Provider Demographics
NPI:1275266652
Name:BURKINSHAW, BREEANNA (RPH)
Entity Type:Individual
Prefix:DR
First Name:BREEANNA
Middle Name:
Last Name:BURKINSHAW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5566 S 56TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1834
Mailing Address - Country:US
Mailing Address - Phone:402-423-3839
Mailing Address - Fax:
Practice Address - Street 1:5566 S 56TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1834
Practice Address - Country:US
Practice Address - Phone:402-423-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist