NPI 1205201241 · live from the CMS NPI Registry
Annely Elise Burgamy, CPNP
Nurse Practitioner, Pediatrics in Charlottesville, VA. National Provider Identifier 1205201241, active.
NPI record
| NPI | 1205201241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1204 W Main St, Charlottesville, VA 22903 |
| Practice phone | 434-924-0123 |
| Mailing address | Po Box 9007, Charlottesville, VA 22906 |
| Enumerated | December 2, 2015 |
| Last updated | October 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024174860 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.