Individual provider · Type 1 NPI
Holly Anne Burnam
Family Nurse Practitioner · South Lake Tahoe, CA
NPI number
1487201091
Active
Practice location
2170 South Ave
South Lake Tahoe, CA 96150-7008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 766953 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95012441 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487201091
Holly Anne Burnam's National Provider Identifier is 1487201091, issued on Aug 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 8, 2020.