Provider Demographics
NPI:1134560311
Name:BURNS, LAURIE L (FNP-C)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:L
Last Name:BURNS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9160 W SAN JUAN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-7132
Mailing Address - Country:US
Mailing Address - Phone:303-594-9053
Mailing Address - Fax:
Practice Address - Street 1:7851 S ELATI ST STE 102
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8081
Practice Address - Country:US
Practice Address - Phone:303-798-1309
Practice Address - Fax:303-798-2319
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO199571163W00000X
COAPN0993166-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse