Provider Demographics
NPI:1295356061
Name:BURTNER, NANCY (RN BSN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BURTNER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18642 MANOR CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-2507
Mailing Address - Country:US
Mailing Address - Phone:301-491-1241
Mailing Address - Fax:
Practice Address - Street 1:2619 GUARD HILL RD
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-7112
Practice Address - Country:US
Practice Address - Phone:540-636-6785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR093041163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty