MRS. LYDIA DH MCBURROWS MS RN CPNP
NPI 1811066830
Nurse Practitioner - Pediatrics in Ypsilanti, MI
Active since November 06, 2006
About Mrs. Lydia Dh Mcburrows Ms Rn Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LYDIA DH MCBURROWS MS RN CPNP (NPI 1811066830) is an individual pediatrics provider in Ypsilanti, Michigan, licensed in Michigan (4704207039) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1811066830
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. LYDIA DH MCBURROWSCredential: MS RN CPNP
Location Address510 EMERICK STYpsilanti, MI 48198-5702
Mailing Address7896 Lake Crest DrYpsilanti, MI 48197-6750 · (734) 482-7292
Phone(734) 714-1409
Fax(734) 714-1440
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 12, 2008
✔ NPI 1811066830 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704207039
510 EMERICK ST, Ypsilanti, MI 48198
Other Identifiers 1
Medicaid4848338MI
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811066830, enumerated as an "individual" on November 06, 2006.
The provider is located at 510 EMERICK ST YPSILANTI, MI 48198 and the phone number is (734) 714-1409.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
