Individual
BRYCE T BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
370 E VIRGINIA AVE, PHOENIX, AZ 85004-1214
(602) 258-4788
Mailing address
6218 E JUSTINE RD, SCOTTSDALE, AZ 85254-1946
(317) 840-2795
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
221746
AZ
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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