Provider Demographics
NPI:1346337953
Name:BURNS, LOUISE BEATRICE (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:BEATRICE
Last Name:BURNS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MISS
Other - First Name:LOUISE
Other - Middle Name:BEATRICE
Other - Last Name:PAULSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:79 MIDDLEVILLE RD
Mailing Address - Street 2:MAIL STOP 11T
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2200
Mailing Address - Country:US
Mailing Address - Phone:631-261-4400
Mailing Address - Fax:631-754-6780
Practice Address - Street 1:79 MIDDLEVILLE RD
Practice Address - Street 2:MAIL STOP 11T
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2200
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:631-754-6780
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333852363LF0000X
PASP009085363LF0000X
FLARNP9193863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily