Provider Demographics
NPI:1578361457
Name:BURNS, VERNOLA
Entity type:Individual
Prefix:
First Name:VERNOLA
Middle Name:
Last Name:BURNS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 N 59TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2110
Mailing Address - Country:US
Mailing Address - Phone:531-232-0793
Mailing Address - Fax:
Practice Address - Street 1:4905 N 59TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2110
Practice Address - Country:US
Practice Address - Phone:531-232-0793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care