Provider Demographics
NPI:1114327335
Name:BURROWS, MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:BURROWS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50011-2029
Mailing Address - Country:US
Mailing Address - Phone:515-294-7265
Mailing Address - Fax:515-294-1190
Practice Address - Street 1:IOWA STATE UNIVERSITY
Practice Address - Street 2:2260 THIELEN STUDENT HEALTH CENTER
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011
Practice Address - Country:US
Practice Address - Phone:515-294-7265
Practice Address - Fax:515-294-5457
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA122305363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner