TYWANA BURROW – NPI #1205520194
Clinic/Center

TYWANA BURROW is an AHC clinic located in BRIDGETON, MO. NPPES has assigned the NPI number 1205520194 to TYWANA BURROW on June 05, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYWANA BURROW below.

NPI Profile for
TYWANA BURROW

NPI Number
1205520194
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TYWANA BURROW
Primary location
3430 MC KELVEY ROAD STE L PMB 1388
BRIDGETON, MO 63044
Phone: (314) 484-6985 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.