Individual provider · Type 1 NPI

Ian Ladd Burge, NURSE PRACTITIONER

Family Nurse Practitioner · Birmingham, AL

NPI number 1124317359 Active

Practice location

420 20th St N Ste 2200
Birmingham, AL 35203-3261

Mailing address

40 S Main St Ste 1300
Memphis, TN 38103-5513

Other practice locations

  • 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637-2087 · (866) 949-0108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-094401 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1124317359

Ian Ladd Burge, NURSE PRACTITIONER's National Provider Identifier is 1124317359, issued on Mar 28, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on Sep 23, 2021.