Individual
MRS. NANCY C BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8281
(502) 896-7266
Mailing address
702 EXECUTIVE PARK, LOUISVILLE, KY 40207-4207
(502) 895-5405
(502) 894-9544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1106181
KY
363L00000X
Nurse Practitioner
3004584
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3004584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537179
ANTHEM
—
05
—
710034392
—
KY
Enumeration date
05/17/2006
Last updated
12/12/2024
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