Individual provider · Type 1 NPI

Rachael Menius Burgess, MSN, CPNP-AC, CPON

Pediatric Nurse Practitioner · Portland, ME

NPI number 1174963136 Active

Practice location

22 Bramhall St
Portland, ME 04102-3134

Other practice locations

  • 450 Brookline Ave, D-2078, Boston, MA 02215-5418 · (617) 632-5436

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN632009 (PA)
Registered Nurse 163W00000XRN2281692 (MA)
Pediatric Nurse Practitioner 363LP0200XRN2281692 (MA)
Pediatric Nurse Practitioner Primary 363LP0200XCNP191176 (ME)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1174963136

Rachael Menius Burgess, MSN, CPNP-AC, CPON's National Provider Identifier is 1174963136, issued on Jul 4, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, ME. The record was last updated on Aug 13, 2019.