Individual provider · Type 1 NPI
Akisha Rochelle Burge
Gerontology Nurse Practitioner · Cleveland, OH
NPI number
1164062790
Active
Practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Fax (216) 844-5399
Mailing address
1088 Dorsh Rd
South Euclid, OH 44121-3832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2018068340 (OH) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1164062790
Akisha Rochelle Burge's National Provider Identifier is 1164062790, issued on Jan 11, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cleveland, OH. The record was last updated on Jan 11, 2020.