Provider Demographics
NPI:1538239702
Name:BURTNETT, HOWARD LEE (CRNA)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:LEE
Last Name:BURTNETT
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:605 S GEORGE ST STE 160
Mailing Address - Street 2:YORK COLLEGE OF PENNSYLVANIA
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-3161
Mailing Address - Country:US
Mailing Address - Phone:717-815-6549
Mailing Address - Fax:717-849-1651
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN604347367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8051534Medicaid
NC8051534Medicaid