MRS. LAURA JEANNE BURGESS


Address: 1715 Berglund Ln Ste B, Viera, FL 32940-6230
Phone: 3216108955

MRS. LAURA JEANNE BURGESS (NPI# 1831573096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831573096
Entity Type Individual
Full Name MRS. LAURA JEANNE BURGESS
Credential MSN, FNP-BC
Practice Address 1715 Berglund Ln Ste B
Viera
FL 32940-6230
Practice Telephone 3216108955
Practice Fax Number 3216108954
Mailing Telephone 3216108955
Mailing Fax Number 3216108954
Enumeration Date 2015-07-16
Last Update Date 2018-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3414042 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
775 Malabar Rd, Malabar, FL 329503120 3217229005

Other Providers LAURA BURGESS

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1205919297 Laura F Burgess Speech-Language Pathologist 6611 Boeing Dr, El Paso, TX 79925-1010 2006-10-23
1619447919 Laura Burgess Registered Nurse 387 W Broadway, Boston, MA 02127-2217 2018-11-29
1497885248 Laura J Burgess Registered Nurse 2045 Franklin St, Denver, CO 80205-5437 2007-03-07
1184673816 Laura Jeanne Burgess Advanced Practice Midwife 335 Parrish St, Canandaigua, NY 14424-1728 2006-05-09

Office Location

Street Address 1715 BERGLUND LN STE B
City VIERA
State FL
Zip Code 32940-6230

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1497726319 Rachel Effolia Smith Nurse Practitioner Va Outpatient Clinic, 2900 Veterans Way, Viera, FL 32940 2006-01-30
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1235168972 Katherine Mae O'rourke Nurse Practitioner 2900 Veterans Way, Home Based Primary Care, Viera, FL 32940 2006-07-03
1891774063 Gwendolyn Samons Simpkins Nurse Practitioner 7125 Murrell Rd, Viera, FL 32940-7999 2006-01-16

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Competitor

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City VIERA
Zip Code 32940

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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