Individual provider · Type 1 NPI

Samantha Burgess, NP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1427616580 Active

Practice location

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563

Fax (616) 954-2116

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704350687 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1427616580

Samantha Burgess, NP's National Provider Identifier is 1427616580, issued on Jun 4, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 13, 2020.