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Individual

RACHAEL MENIUS BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP-AC, CPON

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2281692
MA
163W00000X
Registered Nurse
RN632009
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP191176
ME
363LP0200X
Pediatric Nurse Practitioner
RN2281692
MA

Other

Enumeration date
07/04/2013
Last updated
08/13/2019
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