CHANDRA JEANNE BURNSIDE


Address: 4654a 36th Street South, Arlington, VA 22206
Phone: 7039460708

CHANDRA JEANNE BURNSIDE (NPI# 1104337179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104337179
Entity Type Individual
Full Name CHANDRA JEANNE BURNSIDE
Credential RN
Practice Address 4654a 36th Street South
Arlington
VA 22206
Practice Telephone 7039460708
Mailing Telephone 7039460708
Enumeration Date 2017-10-18
Last Update Date 2017-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
0001260026 VA Nursing Service Providers
N 163WX0003X Registered Nurse
Specialization: Obstetric, Inpatient
0001260026 VA Nursing Service Providers

Office Location

Street Address 4654A 36TH STREET SOUTH
City ARLINGTON
State VA
Zip Code 22206

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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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1891115374 Jenny Weaver Registered Nurse 125 Webster St, Arlington, MA 02474-3334 2014-04-23
1588921670 Tehmina Raza Registered Nurse 5275 Lee Hwy, Suit 101, Arlington, VA 22207-1619 2012-04-13

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City ARLINGTON
Zip Code 22206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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