Provider Demographics
NPI:1336015841
Name:BURLEY, FAITH OLIVIA
Entity type:Individual
Prefix:MISS
First Name:FAITH
Middle Name:OLIVIA
Last Name:BURLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:BALDWINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01436-1103
Mailing Address - Country:US
Mailing Address - Phone:978-350-6330
Mailing Address - Fax:
Practice Address - Street 1:21 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BALDWINVILLE
Practice Address - State:MA
Practice Address - Zip Code:01436-1103
Practice Address - Country:US
Practice Address - Phone:978-350-6330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASA2420408374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula