Burgess, Corlista Anne

Burgess, Corlista Anne is an individual health care provider with primary practice located at 2604 E Pembroke Ave , Hampton VA 23664-1248. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, 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, Corlista Anne can be contacted via phone (757) 810-2663.

Contact Information

Primary practice address
2604 E Pembroke Ave Hampton VA 23664-1248
Phone: (757) 810-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 0024170057 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024170057 Virginia

Profile Details

NPI number 1982945069
LBN Legal business name Burgess, Corlista Anne
Credentials CNM, PHMNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Nov 27th, 2023 - about last year

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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