Provider Demographics
NPI:1417148651
Name:BURNS, VIRGINIA CAROLYN (RN CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:CAROLYN
Last Name:BURNS
Suffix:
Gender:F
Credentials:RN CRNFA
Other - Prefix:MISS
Other - First Name:VIRGINIA
Other - Middle Name:CAROLYN
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CRNFA
Mailing Address - Street 1:PO BOX 15082
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-5082
Mailing Address - Country:US
Mailing Address - Phone:949-548-0459
Mailing Address - Fax:949-650-5170
Practice Address - Street 1:2572 ELDEN AVE
Practice Address - Street 2:UNIT C
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627
Practice Address - Country:US
Practice Address - Phone:949-548-0459
Practice Address - Fax:949-650-5170
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA166858163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant