Individual provider · Type 1 NPI
Monelle Larissa Burrus, NP
Primary Care Nurse Practitioner · Bend, OR
NPI number
1033707708
Active
Practice location
225 SW Scalehouse Loop Unit 106
Bend, OR 97702-1272
Fax (541) 203-2202
Mailing address
2645 NW Sky Vista Ct
Bend, OR 97703-8604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 202100185NP-PP (OR) |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 202100185NP-PP (OR) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1033707708
Monelle Larissa Burrus, NP's National Provider Identifier is 1033707708, issued on Jan 7, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bend, OR. The record was last updated on Oct 13, 2026.