| Doctor Name: | DR. ANN WOLBERT BURGESS |
| NPI Number: | 1114179793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNSC, RN |
| License Number: | RN71027 |
| Business Practice Address: | 228 Highland Ave West Newton, MA - 024652512 |
| Business Phone Number: | 6179656261 |
| Business Fax Number: | |
| Mailing Address: | 228 Highland Ave, WEST NEWTON |
| State: | MA |
| Postal Code: | 024652512 |
| Phone Number: | 6179656261 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2008 |
| NPI Last Update Date: | 10/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | RN71027 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |