Burton, Diane Lee

Burton, Diane Lee is an individual health care provider with primary practice located at 8201 Atlee Rd Ste A , Mechanicsville VA 23116-1815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burton, Diane Lee can be contacted via phone (804) 522-1814.

Contact Information

Primary practice address
8201 Atlee Rd Ste A Mechanicsville VA 23116-1815
Fax: (804) 522-1823
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171049 Virginia

Profile Details

NPI number 1083056493
LBN Legal business name Burton, Diane Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated May 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083056493 NPPES
Virginia Other L524 MEDICARE GROUP PTAN

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