Individual
ELIZABETH BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-PMH-BC
Contact information
Practice address
17 W RED BANK AVE STE 302B, WOODBURY, NJ 08096-1630
(856) 853-2020
(856) 221-4262
Mailing address
2585 LONDON LN, VINELAND, NJ 08361-7755
(856) 853-2020
(856) 221-4262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11193500
NJ
163WC0400X
Case Management Registered Nurse
26NO11193500
NJ
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
26NO11193500
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NO11193500
NJ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26NO11193500
NJ
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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