Basic Information
Provider Information
NPI: 1891845285
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURGNER
FirstName: KARRI
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential: M.S.N., R.N., A.P.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 850 MILL ST
Address2: T5
City: RENO
State: NV
PostalCode: 895022055
CountryCode: US
TelephoneNumber: 7759825262
FaxNumber: 7759825496
Practice Location
Address1: 202 LOS ALTOS PKWY
Address2:  
City: SPARKS
State: NV
PostalCode: 894367708
CountryCode: US
TelephoneNumber: 7759825000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/10/2007
LastUpdateDate: 03/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN000925NVY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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