Individual provider · Type 1 NPI
Roderick Stephen Burbank I
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Van Buren Township, MI
NPI number
1881470607
Active
Practice location
49209 Sonrisa St
Van Buren Township, MI 48111-4973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704215728 (MI) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 4704215728 (MI) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1881470607
Roderick Stephen Burbank I's National Provider Identifier is 1881470607, issued on Sep 6, 2023. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Van Buren Township, MI. The record was last updated on Sep 6, 2023.