Burgesen, Amanda Sue

Burgesen, Amanda Sue is an individual health care provider with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Burgesen, Amanda Sue can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
1 Saint Elizabeth Blvd O Fallon IL 62269-1099
Phone: (618) 234-2120
Fax: (618) 641-5810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041448788 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209021562 Illinois

Profile Details

NPI number 1568084903
LBN Legal business name Burgesen, Amanda Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated Jul 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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