Individual provider · Type 1 NPI

Lacie Shae Burge, NP

Family Nurse Practitioner · Winchester, IN

NPI number 1972043305 Active

Practice location

400 South Oak Street, Randolph Medical Center
Winchester, IN 47394

Call (765) 584-6600 Map

Fax (765) 584-6503

Mailing address

1100 Reid Parkway, Medical Staff Services
Richmond, IN 47374

Other practice locations

  • 2901 W Jackson St, Muncie, IN 47304-4307 · (765) 747-4332
  • 9180 W 500 N, Farmland, IN 47340-9298 · (765) 509-0408

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007164A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1972043305

Lacie Shae Burge, NP's National Provider Identifier is 1972043305, issued on Mar 4, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winchester, IN. The record was last updated on Aug 28, 2024.