Basic Information
| Provider Information | |||||||||
| NPI: | 1033316229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURNSTEIN | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 104 KNUTSON DR | ||||||||
| Address2: | |||||||||
| City: | SITKA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998359783 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077383838 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 209 MOLLER AVE | ||||||||
| Address2: | |||||||||
| City: | SITKA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998357142 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077473241 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 07/11/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 083039824RN | OR | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 163WF0300X | 27684 | AK | N | Nursing Service Providers | Registered Nurse | Flight | 163WE0003X | NUR R 27684 | AK | Y | Nursing Service Providers | Registered Nurse | Emergency |
No ID Information.