Burgess, Marylou

Burgess, Marylou is an individual health care provider with primary practice located at 11 Hills Beach Rd , Biddeford ME 04005-9526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burgess, Marylou can be contacted via phone (207) 602-2358.

Contact Information

Primary practice address
11 Hills Beach Rd Biddeford ME 04005-9526
Phone: (207) 602-2358
Fax: (207) 602-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R024901 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81327 Maine

Profile Details

NPI number 1215043757
LBN Legal business name Burgess, Marylou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 5th, 2013 - about 11 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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