Provider Demographics
NPI:1386032159
Name:BIRNIE-BURI, WENDY ANNETTE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ANNETTE
Last Name:BIRNIE-BURI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9311 CRAMER ROAD KP N # KPN
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98329-5795
Mailing Address - Country:US
Mailing Address - Phone:253-884-2992
Mailing Address - Fax:
Practice Address - Street 1:9311 CRAMER ROAD KP N # KPN
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98329-5795
Practice Address - Country:US
Practice Address - Phone:253-225-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00021314164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse