Basic Information
| Provider Information | |||||||||
| NPI: | 1114327335 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BURROWS | ||||||||
| FirstName: | MARIE | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DR | ||||||||
| Address2: | |||||||||
| City: | AMES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500112029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152947265 | ||||||||
| FaxNumber: | 5152941190 | ||||||||
| Practice Location | |||||||||
| Address1: | IOWA STATE UNIVERSITY | ||||||||
| Address2: | 2260 THIELEN STUDENT HEALTH CENTER | ||||||||
| City: | AMES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152947265 | ||||||||
| FaxNumber: | 5152945457 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2014 | ||||||||
| LastUpdateDate: | 07/26/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | A122305 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.