Provider Demographics
NPI:1194708594
Name:BURFORD, EDNA IONA (CRNP)
Entity type:Individual
Prefix:MS
First Name:EDNA
Middle Name:IONA
Last Name:BURFORD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 FLEMING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-7814
Mailing Address - Country:US
Mailing Address - Phone:724-357-2550
Mailing Address - Fax:
Practice Address - Street 1:1516 FLEMING RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-7814
Practice Address - Country:US
Practice Address - Phone:724-357-2550
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP000125A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily