NPI 1154592640 · live from the CMS NPI Registry
Elizabeth Ann Burghen, NP
Nurse Practitioner, Pediatrics in Memphis, TN. National Provider Identifier 1154592640, active.
NPI record
| NPI | 1154592640 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 262 Danny Thomas Pl, Memphis, TN 38105 |
| Practice phone | 901-595-3006 |
| Mailing address | 262 Danny Thomas Pl, Ms 515, Memphis, TN 38105 |
| Enumerated | March 12, 2008 |
| Last updated | October 2, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 13195 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.