Provider Demographics
NPI:1427382613
Name:BURAS, VALERIE B (NP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:B
Last Name:BURAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6189
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540-6189
Mailing Address - Country:US
Mailing Address - Phone:228-273-4096
Mailing Address - Fax:866-809-7246
Practice Address - Street 1:2810 ANDREW AVE
Practice Address - Street 2:
Practice Address - City:PASCAGOULA
Practice Address - State:MS
Practice Address - Zip Code:39567-1802
Practice Address - Country:US
Practice Address - Phone:228-273-4096
Practice Address - Fax:866-809-7246
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR856009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily