IndividualActive
Brock Burris, RN
NPI 1124541057 · Emergency Registered Nurse · Dover, OH
Provider details
- NPI number
- 1124541057
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 48411 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
1711 Dover Ave
Dover, OH 44622-2529
Phone: (330) 987-6707
Approximate (ZIP-level) locationGet directions
Mailing address
1711 Dover Ave
Dover, OH 44622-2529
Registry dates
- Enumerated
- 2017-07-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.