LANCE R BURRELL APRN NPI 1730146754

NPI Information

  • NPI: 1730146754
  • Provider Name: LANCE R BURRELL, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: EXIT 102 11/2 MI. SOUTH I-40
    ACOMA-CANONCITO-LAGUNA INDIAN
    SAN FIDEL, NM
    ZIP 87049
  • Phone: (505) 552-5300

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NPI Details

Lance R Burrell, APRN is a family nurse practitioner in San Fidel, NM with 30 years of experience. Lance R Burrell, APRN NPI is 1730146754. 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:

EXIT 102 11/2 MI. SOUTH I-40
ACOMA-CANONCITO-LAGUNA INDIAN
SAN FIDEL, NM
ZIP 87049-130
Phone: (505) 552-5300

The NPI 1730146754 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 4/26/2006 and was last updated on 9/2/2014.

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
1363LF0000XNurse PractitionerFamily5653727-4405UTAHNo
2363LF0000XNurse PractitionerFamilyAP4694ARIZONAYes

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
1320070MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
2H3451MEDICAIDNEW MEXICO

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: 11/21/2025

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