Kimberly Anne Burgess, FNP Valid NPI

Individual provider · Nurse Practitioner · O Fallon, MO

NPI

1356536288

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

2007008090 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2007-09-13

Last updated

2007-09-13