National Provider Identifier Database

PHALACIA L BURTON, RN – NPI #1760832349
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

PHALACIA L BURTON, RN
240 BURT ST # 140
SANTA ROSA, CA95407-6223
Phone: 323-404-0705
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for PHALACIA L BURTON

NPI Number 1760832349
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/15/2016
Last updated 06/15/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 757957
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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