Individual provider · NPI-1
Robbie W Burdeniuk, CRNFA
Registered Nurse, Registered Nurse First Assistant · Driftwood, TX
NPI number1104958891
StatusActive
Last updated in NPPESSep 14, 2011
Details
- NPI
- 1104958891
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robbie W Burdeniuk
- Credential
- CRNFA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Sep 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | 790514 | TX | Yes |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | RN0000098744 | TN |
Practice location
188 Southern Sunset CvDriftwood, TX 78619-1501
Phone 512-858-1575 · Fax 512-858-1804
Mailing address
Po Box 1750Dripping Springs, TX 78620-1750
Phone 512-858-1575 · Fax 512-858-1804
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