Provider Demographics
NPI:1467521716
Name:BURNS, CHARLENE ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:ANN
Last Name:BURNS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 FINLEY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:TWISP
Mailing Address - State:WA
Mailing Address - Zip Code:98856-9825
Mailing Address - Country:US
Mailing Address - Phone:509-997-0818
Mailing Address - Fax:
Practice Address - Street 1:82 FINLEY CANYON RD
Practice Address - Street 2:
Practice Address - City:TWISP
Practice Address - State:WA
Practice Address - Zip Code:98856-9825
Practice Address - Country:US
Practice Address - Phone:509-997-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN296745363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily