DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL BURNETT, PA-C

Active

MR. MICHAEL BURNETT, PA-C is a Medical Physician Assistant healthcare provider located in CANNON AFB, New Mexico. NPI 1811469604 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CANNON AFB, NM

Registration Details

NPI Number
1811469604
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2018 (7.6711110493716 yrs)
Last Updated
Jan 9, 2025
Licenses
11690304-1206 (UT)
11690304-1206 (UT)
PA2024-0091 (NM)

Practice Information

Address
104 W D.L INGRAM AV
CANNON AFB, NM, 88101
Browse NM providers · Browse ZIP 88101
Phone
5759045392
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CANNON AFB, NM

Name Credential NPI
MR. JAYDEN CHARLES BITTORF PA-C 1497513329
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.