Provider Demographics
NPI:1700913795
Name:BURNS, ANNETTE L (NP)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:L
Last Name:BURNS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 POTRERO AVE BLDG 80
Mailing Address - Street 2:SFGH FAMILY & COMMUNITY MEDICINE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-6497
Mailing Address - Fax:415-206-5855
Practice Address - Street 1:995 POTRERO AVE BLDG 80
Practice Address - Street 2:SFGH FAMILY & COMMUNITY MEDICINE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-6497
Practice Address - Fax:415-206-5855
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN322898163WP2201X
CANPF5052363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
030585OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
030585OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER