Burgess, Nancy Marie

Burgess, Nancy Marie is an individual health care provider with primary practice located at 3617 S Pacific Hwy , Medford OR 97501-8957. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burgess, Nancy Marie can be contacted via phone (541) 535-6239.

Contact Information

Primary practice address
3617 S Pacific Hwy Medford OR 97501-8957
Phone: (541) 535-6239
Fax: (541) 512-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 649948 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200750134NP Oregon

Profile Details

NPI number 1245308832
LBN Legal business name Burgess, Nancy Marie
Credentials ANPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245308832 NPPES
Oregon Other 200750134NP OREGON STATE LICENSE
Oregon Other 649948 OREGON STATE LICENSE

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