Burgess, Amanda Lori

Burgess, Amanda Lori is an sole proprietor health care provider with primary practice located at 1422 E Lark St , Gilbert AZ 85297-4577. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Burgess, Amanda Lori can be contacted via phone (480) 603-7380.

Contact Information

Primary practice address
1422 E Lark St Gilbert AZ 85297-4577
Phone: (480) 603-7380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN144952 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 280404 Arizona

Profile Details

NPI number 1508512302
LBN Legal business name Burgess, Amanda Lori
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2022
Last updated Sep 6th, 2022 - about 3 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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