Individual provider · NPI-1

Melinda Ann Burse, RN

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Austin, TX

NPI number1952279598
StatusActive
Last updated in NPPESOct 26, 2026

Details

NPI
1952279598
Entity type
Individual (NPI-1)
Name
Melinda Ann Burse
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2025
Certification date
Oct 26, 2026
Last updated
Oct 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
163W00000X Registered Nurse660944TX
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Practice location

5702 Sandhurst Cir
Austin, TX 78723-3532

Phone 512-296-9575

Mailing address

5702 Sandhurst Cir
Austin, TX 78723-3532

Phone 512-296-9575 · Fax 512-919-4316

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