MRS. SHAYLYN RHAE BURNHAM FNP-BC NPI 1073986436

NPI Information

NPI: 1073986436
Provider Name: MRS. SHAYLYN RHAE BURNHAM, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: GASTROENTEROLOGY CONSULTANTS PC

PECOS Registration: Yes

Address:
2860 CREEKSIDE CIR
MEDFORD, OR
ZIP 97504
Phone: (541) 779-8367
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MRS. Shaylyn Rhae Burnham, FNP-BC is a family nurse practitioner in Medford, OR with 9 years of experience. MRS. Shaylyn Rhae Burnham, FNP-BC NPI is 1073986436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2860 CREEKSIDE CIR
MEDFORD, OR
ZIP 97504-442
Phone: (541) 779-8367
Fax: (541) 779-7471

The NPI 1073986436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2015 and was last updated on 2/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP129491	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	202000950NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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