Individual provider · Type 1 NPI
Annely Elise Burgamy, CPNP
Pediatric Nurse Practitioner · Charlottesville, VA
NPI number
1205201241
Active
Practice location
1204 W Main St
Charlottesville, VA 22903-2824
Fax (434) 243-3300
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0024174860 (VA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205201241
Annely Elise Burgamy, CPNP's National Provider Identifier is 1205201241, issued on Dec 2, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlottesville, VA. The record was last updated on Oct 13, 2020.