Individual provider · Type 1 NPI
Amanda Lori Burgess
Psychiatric/Mental Health Nurse Practitioner · Gilbert, AZ
NPI number
1508512302
Active
Practice location
1422 E Lark St
Gilbert, AZ 85297-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN144952 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 280404 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508512302
Amanda Lori Burgess's National Provider Identifier is 1508512302, issued on Mar 1, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gilbert, AZ. The record was last updated on Sep 6, 2022.