Doctor Name: | MS. P SPENCER BURDGE |
NPI Number: | 1043328693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 135263 |
Business Practice Address: | Vamc 116a 215 N. Main St White River Junction, VT - 050090001 |
Business Phone Number: | 8022958363 |
Business Fax Number: | |
Mailing Address: | Vamc 116a, 215 N. Main St WHITE RIVER JUNCTION |
State: | VT |
Postal Code: | 050090001 |
Phone Number: | 8022958363 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 135263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |