Individual
ERIN BURGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7814 N DALE MABRY HWY, TAMPA, FL 33614-3220
(813) 397-5300
(813) 405-3938
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9212736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017735900
—
FL
01
—
7LZ88
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/22/2016
Last updated
02/10/2023
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