Provider Demographics
NPI:1184350852
Name:BURAS, KAYLIE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:MS
First Name:KAYLIE
Middle Name:ELIZABETH
Last Name:BURAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:KAYLIE
Other - Middle Name:BURAS
Other - Last Name:ANTUNEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 HOLY TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-6230
Mailing Address - Country:US
Mailing Address - Phone:985-257-2303
Mailing Address - Fax:985-202-8274
Practice Address - Street 1:601 HOLY TRINITY DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-6230
Practice Address - Country:US
Practice Address - Phone:985-257-2303
Practice Address - Fax:985-202-8274
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA226782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily