Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODERICK STEPHEN BURBANK I
Active Sole ProprietorMR. RODERICK STEPHEN BURBANK I is a Psychiatric/Mental Health Nurse healthcare provider located in VAN BUREN TWP, Michigan. NPI 1881470607 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse · VAN BUREN TWP, MI
Registration Details
- NPI Number
- 1881470607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2023 (2.9710514814934 yrs)
- Last Updated
- Sep 6, 2023
- Licenses
-
4704215728 (MI)4704215728 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49209 SONRISA STVAN BUREN TWP, MI, 481114973Browse MI providers · Browse ZIP 48111
- Phone
- 3137791120
- Primary Specialty
-
Psychiatric/Mental Health Nurse
163WP0807X
- Additional Specialty
- Psychiatric/Mental Health Nurse
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.