BROCK BURRIS RN NPI 1124541057

NPI Information

NPI: 1124541057
Provider Name: BROCK BURRIS, RN
Classification: Registered Nurse - 163WE0003X
Entity Type: Individual

Specialization: Emergency

Address:
1711 DOVER AVE
DOVER, OH
ZIP 44622
Phone: (330) 987-6707
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Brock Burris, RN is an emergency registered nurse in Dover, OH. Brock Burris, RN NPI is 1124541057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1711 DOVER AVE
DOVER, OH
ZIP 44622-529
Phone: (330) 987-6707

The enumeration date for this NPI number is 7/23/2017 and was last updated on 7/21/2022.

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	163WE0003X	Registered Nurse	Emergency	48411	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	408411	OTHER	OHIO	RN LISCENCE

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: 4/28/2024

NPI Synchronization or Removal

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