Provider Demographics
NPI:1205167145
Name:BURR, CORRIE (CLD)
Entity type:Individual
Prefix:MRS
First Name:CORRIE
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5403
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-5403
Mailing Address - Country:US
Mailing Address - Phone:970-390-8963
Mailing Address - Fax:970-668-0990
Practice Address - Street 1:29 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424
Practice Address - Country:US
Practice Address - Phone:970-390-8963
Practice Address - Fax:970-668-0990
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula