NPI 1578435624 · live from the CMS NPI Registry
Cynthia Rae Burgess, NP
Nurse Practitioner in Ann Arbor, MI. National Provider Identifier 1578435624, active.
NPI record
| NPI | 1578435624 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1500 E Medical Center Dr, Ann Arbor, MI 48109 |
| Practice phone | 734-936-4000 |
| Mailing address | 3621 S State St, Ann Arbor, MI 48108 |
| Enumerated | September 18, 2025 |
| Last updated | December 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | 4704330765 (MI) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 4704330765 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.