Provider Demographics
NPI:1760663983
Name:BURTON, VIRGINIA ANNE (MSN, ARNP)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ANNE
Last Name:BURTON
Suffix:
Gender:F
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:3405 DALLAS HWY SW STE 200
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-6426
Mailing Address - Country:US
Mailing Address - Phone:678-802-8665
Mailing Address - Fax:678-540-4250
Practice Address - Street 1:3405 DALLAS HWY SW STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-6426
Practice Address - Country:US
Practice Address - Phone:678-802-8665
Practice Address - Fax:678-540-4250
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP003705363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP33559Medicare UPIN
FLE5668ZMedicare PIN