Provider Demographics
NPI:1588682934
Name:BURTON, PAULINE LORRAINE (RN CDE)
Entity Type:Individual
Prefix:MRS
First Name:PAULINE
Middle Name:LORRAINE
Last Name:BURTON
Suffix:
Gender:F
Credentials:RN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MELBA DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3308
Mailing Address - Country:US
Mailing Address - Phone:603-880-3411
Mailing Address - Fax:
Practice Address - Street 1:21 E HOLLIS ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2928
Practice Address - Country:US
Practice Address - Phone:603-577-4200
Practice Address - Fax:603-577-4210
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02347121163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator