MS. GLORIA L. BURDETT M.S. PMHCNS-BC NPI 1164561437

NPI Information

NPI: 1164561437
Provider Name: MS. GLORIA L. BURDETT, M.S., PMHCNS-BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
37 FRIEND ST.
ELDER SERVICE PLAN OF THE NORTH SHORE
LYNN, MA
ZIP 01902
Phone: (781) 715-6608
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MS. Gloria L. Burdett, M.S., PMHCNS-BC is a psychiatric/mental health and adult clinical nurse specialist in Lynn, MA. MS. Gloria L. Burdett, M.S., PMHCNS-BC NPI is 1164561437. 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:

37 FRIEND ST.
ELDER SERVICE PLAN OF THE NORTH SHORE
LYNN, MA
ZIP 01902
Phone: (781) 715-6608
Fax: (781) 715-6699

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/15/2012.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	052943-23	NEW HAMPSHIRE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	052943-23-08	NEW HAMPSHIRE	No
3	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	RN100851	MASSACHUSETTS	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
1	BUN56016	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
2	Q16020	MEDICARE UPIN	NEW HAMPSHIRE
3	RE3213	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE

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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