Ethel Mae Burton
Contractor in Durham, NC. Individual provider (NPI-1).
NPI number1740635705
StatusActive
Last updated in NPPESApr 27, 2016
Details
- NPI
- 1740635705
- Entity type
- Individual (NPI-1)
- Name
- Miss Ethel Mae Burton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2016
- Last updated
- Apr 27, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 32001509 | NC | Yes |
| 171M00000X | Case Manager/Care Coordinator | 32001509 | NC |
Practice location
3607 Penn DrDurham, NC 27703-3656
Phone 919-598-5191
Mailing address
3607 Penn DrDurham, NC 27703-3656
Phone 919-598-5191
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Contractor providers in Durham · All 16,553 providers in Durham
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