Provider Demographics
NPI:1548646078
Name:BURCHIANTI, MARGARET EMMA (DNP, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:EMMA
Last Name:BURCHIANTI
Suffix:
Gender:F
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2180 NORCOR AVE., STE. D, #201
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-9748
Mailing Address - Country:US
Mailing Address - Phone:319-600-6085
Mailing Address - Fax:319-409-6160
Practice Address - Street 1:2180 NORCOR AVE STE D
Practice Address - Street 2:#201
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241
Practice Address - Country:US
Practice Address - Phone:319-600-6085
Practice Address - Fax:319-409-6160
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG129160363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health