Provider Demographics
NPI:1083688766
Name:BURNS, FRANCES M (NP)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:BURNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:415 ROUTE 9
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734-2848
Mailing Address - Country:US
Mailing Address - Phone:609-693-1125
Mailing Address - Fax:609-693-1128
Practice Address - Street 1:415 ROUTE 9
Practice Address - Street 2:SUITE 2A
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734-2848
Practice Address - Country:US
Practice Address - Phone:609-693-1125
Practice Address - Fax:609-693-1128
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168701364SP0809X
VA0001223548163W00000X
NJ26NJ00058900364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQ41314Medicare UPIN