Individual provider · Type 1 NPI
Clint Burgess, NP
Family Nurse Practitioner · Mesa, AZ
NPI number
1447880299
Active
Practice location
4463 E Des Moines St
Mesa, AZ 85205-6340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TEMP234960 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 234960 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447880299
Clint Burgess, NP's National Provider Identifier is 1447880299, issued on Jan 21, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 9, 2023.