Individual
NANCY BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-5207
(703) 573-7600
(703) 573-2694
Mailing address
8316 ARLINGTON BLVD, SUITE 300, FAIRFAX, VA 22031-5207
(703) 573-7600
(703) 573-2694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017136782
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017136782
LICENSE
VA
Enumeration date
03/26/2007
Last updated
07/08/2007
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