Provider Demographics
NPI:1265717623
Name:BURM, VICTORIA A (RN)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:A
Last Name:BURM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1025
Mailing Address - Country:US
Mailing Address - Phone:315-712-0512
Mailing Address - Fax:315-712-0527
Practice Address - Street 1:98 CLINTON ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1025
Practice Address - Country:US
Practice Address - Phone:315-712-0512
Practice Address - Fax:315-712-0527
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY465668163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool