| Doctor Name: | CHRISTINE FELICIA BURG |
| NPI Number: | 1740665405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP95002662 |
| Business Practice Address: | 2238 Bayview Heights Dr Suite G Los Osos, CA - 934023921 |
| Business Phone Number: | 8055341305 |
| Business Fax Number: | 8055341347 |
| Mailing Address: | 117 W Bunny Ave, SANTA MARIA |
| State: | CA |
| Postal Code: | 934582805 |
| Phone Number: | 8055341305 |
| Fax Number: | 8055341347 |
| NPI Enumeration Date: | 07/23/2015 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP95002662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |