Provider Demographics
NPI:1740390178
Name:BURTON, DONNA JEAN (WHNP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:BURTON
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5517
Mailing Address - Country:US
Mailing Address - Phone:703-792-6340
Mailing Address - Fax:703-792-6338
Practice Address - Street 1:9301 LEE AVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5517
Practice Address - Country:US
Practice Address - Phone:703-792-6340
Practice Address - Fax:703-792-6338
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024160727363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health