IndividualActive
Roderick Burbank
NPI 1881470607 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Van Buren Twp, MI
Provider details
- NPI number
- 1881470607
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704215728 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704215728 (MI)
Nursing Service Providers
Nursing Service Providers
Practice location
49209 Sonrisa St
Van Buren Twp, MI 48111-4973
Phone: (313) 779-1120
Approximate (ZIP-level) locationGet directions
Mailing address
49209 Sonrisa St
Van Buren Twp, MI 48111-4973
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.