| Organization Name: | NANCY M BURGESS RN MSN ANP-C PC |
| NPI Number: | 1184054546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY MARIE BURGESS (NURSE PRACTITIONER) |
| Mailing Address: | 910 Sw Highway 97 Ste 104 Madras |
| State: | OR US |
| Postal Code: | 977419247 |
| Phone Number: | 5415047781 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2013 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |