Provider Demographics
NPI:1609307693
Name:BURTON, RITA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:BURTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 M ST SW
Mailing Address - Street 2:W411
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2612
Mailing Address - Country:US
Mailing Address - Phone:240-381-1064
Mailing Address - Fax:
Practice Address - Street 1:490 M ST SW
Practice Address - Street 2:W411
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2612
Practice Address - Country:US
Practice Address - Phone:240-381-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical