NPI 1215043757 · live from the CMS NPI Registry
Marylou Burgess, NP
Nurse Practitioner, Family in Biddeford, ME. National Provider Identifier 1215043757, active.
NPI record
| NPI | 1215043757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 11 Hills Beach Rd, Biddeford, ME 04005 |
| Practice phone | 207-602-2358 |
| Mailing address | Po Box 284, Brattleboro, VT 05302 |
| Enumerated | August 21, 2006 |
| Last updated | February 5, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | R024901 (ME) |
| Nurse Practitioner, Family primary | 363LF0000X | CNP81327 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.