Provider Demographics
NPI:1396998746
Name:BURR, CHERYL R (RN/NP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:R
Last Name:BURR
Suffix:
Gender:F
Credentials:RN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7517 CAMPSTOOL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-4626
Mailing Address - Country:US
Mailing Address - Phone:719-447-0837
Mailing Address - Fax:
Practice Address - Street 1:7517 CAMPSTOOL DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-4626
Practice Address - Country:US
Practice Address - Phone:719-447-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO109412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health