Basic Information
Provider Information
NPI: 1982981627
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURROWS
FirstName: ANNE
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: M.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 44 INNER DR
Address2:  
City: SAINT PAUL
State: MN
PostalCode: 551161820
CountryCode: US
TelephoneNumber: 7152227326
FaxNumber:  
Practice Location
Address1: 701 PARK AVE
Address2: HENNEPIN COUNTY MEDICAL CENTER
City: MINNEAPOLIS
State: MN
PostalCode: 554151623
CountryCode: US
TelephoneNumber: 6128733000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/09/2011
LastUpdateDate: 11/09/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X  Y Other Service ProvidersGenetic Counselor, MS 

ID Information
IDTypeStateIssuerDescription
1544601WIGENETIC COUNSELOR CERTIFICATIONOTHER


Home