Provider Demographics
NPI:1366590119
Name:BURMAN, HOLLY ELIZABETH (WHNP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ELIZABETH
Last Name:BURMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 MARY ELIZA TRCE NW STE 100
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1078
Mailing Address - Country:US
Mailing Address - Phone:770-558-9773
Mailing Address - Fax:770-739-6006
Practice Address - Street 1:3951 MARY ELIZA TRCE NW STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1078
Practice Address - Country:US
Practice Address - Phone:770-558-9773
Practice Address - Fax:770-739-6006
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN124541363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA090369480BMedicaid
GA090369480CMedicaid
GA090369480DMedicaid
GA090369480CMedicaid