| Doctor Name: | MRS. TAYLOR ASHLEY ROANE BURGE |
| NPI Number: | 1174951081 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AC001258 |
| Business Practice Address: | 404 Fox Hunt Drive Bear, DE - 19701 |
| Business Phone Number: | 3026522455 |
| Business Fax Number: | 3023226251 |
| Mailing Address: | 2 Penns Way, Suite 412 NEW CASTLE |
| State: | DE |
| Postal Code: | 19720 |
| Phone Number: | 3026522455 |
| Fax Number: | 3023226251 |
| NPI Enumeration Date: | 10/31/2013 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AC001258 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |