Provider Demographics
NPI:1376846089
Name:BURTT, CARYN ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:CARYN
Middle Name:ELIZABETH
Last Name:BURTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 MANCHACA RD
Mailing Address - Street 2:APT. 332
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3506 MANCHACA RD
Practice Address - Street 2:APT. 332
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6604
Practice Address - Country:US
Practice Address - Phone:917-287-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula