Provider Demographics
NPI:1972539922
Name:BURLINGTON, KATHY A (CPNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:A
Last Name:BURLINGTON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 COHASSET RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2202
Mailing Address - Country:US
Mailing Address - Phone:530-342-4860
Mailing Address - Fax:530-342-4685
Practice Address - Street 1:194 COHASSET RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2202
Practice Address - Country:US
Practice Address - Phone:530-342-4860
Practice Address - Fax:530-342-4685
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA257507363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANPF 7038OtherNURSE PRACTITIONER