Provider Demographics
NPI:1215778394
Name:BURCH, ERIN LYNN (MSN, RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN
Last Name:BURCH
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 MORRISON
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:OK
Mailing Address - Zip Code:73061-9415
Mailing Address - Country:US
Mailing Address - Phone:615-995-0576
Mailing Address - Fax:
Practice Address - Street 1:207 MORRISON
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:OK
Practice Address - Zip Code:73061-9415
Practice Address - Country:US
Practice Address - Phone:615-995-0576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0125812163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse