Provider Demographics
NPI:1750653051
Name:BURHART, ANA (LVN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:BURHART
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:BURKHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7480 POIRIER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-5331
Mailing Address - Country:US
Mailing Address - Phone:951-207-1295
Mailing Address - Fax:
Practice Address - Street 1:7480 POIRIER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-5331
Practice Address - Country:US
Practice Address - Phone:951-207-1295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA228485164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse