Laura Burton, is a
Nurse Practitioner based in Wood River, Illinois. Laura Burton is licensed to practice in Illinois (license number 209017788) and her current practice location is
203 E Ferguson Ave, Wood River, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 254-2273.
NPI number for Laura Burton is 1417410200 and her current mailing address is 203 E Ferguson Ave, Wood River, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417410200.
Provider's Profile
| Full Name | Laura Burton |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 203 E Ferguson Ave, Wood River, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417410200
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 04/09/2019
Medical Identifiers
Medical identifiers for Laura Burton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417410200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 209017788 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Burton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Laura Burton, 203 E Ferguson Ave, Wood River, IL 62095-2001 Ph: (618) 254-2273 | Laura Burton, 203 E Ferguson Ave, Wood River, IL 62095-2001 Ph: (618) 254-2273 |
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