Provider Demographics
NPI:1003633819
Name:BURTON, FLORESCA (RN)
Entity type:Individual
Prefix:MS
First Name:FLORESCA
Middle Name:
Last Name:BURTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-2236
Mailing Address - Country:US
Mailing Address - Phone:908-548-7477
Mailing Address - Fax:
Practice Address - Street 1:1156 LIBERTY AVE STE C
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-2142
Practice Address - Country:US
Practice Address - Phone:973-766-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13851100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse