MR. RODERICK STEPHEN BURBANK NPI 1881470607

NPI Information

  • NPI: 1881470607
  • Provider Name: MR. RODERICK STEPHEN BURBANK
  • Classification: Registered Nurse - 163WP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • Address: 49209 SONRISA ST
    VAN BUREN TWP, MI
    ZIP 48111
  • Phone: (313) 779-1120

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NPI Details

MR. Roderick Stephen Burbank is a psychiatric/mental health and child and adolescent registered nurse in Van Buren Twp, MI. MR. Roderick Stephen Burbank NPI is 1881470607. 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:

49209 SONRISA ST
VAN BUREN TWP, MI
ZIP 48111-973
Phone: (313) 779-1120

The enumeration date for this NPI number is 9/6/2023 and was last updated on 9/6/2023.

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
1163W00000XRegistered Nurse4704215728MICHIGANNo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent4704215728MICHIGANYes

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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