NPI 1629845219 · live from the CMS NPI Registry
Matthew Weldon Burttram
Registered Nurse, Registered Nurse First Assistant in Tucson, AZ. National Provider Identifier 1629845219, active.
NPI record
| NPI | 1629845219 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 2200 S Houghton Rd, Tucson, AZ 85748 |
| Practice phone | 520-543-6100 |
| Enumerated | December 5, 2023 |
| Last updated | December 5, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 1-137860 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.