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Individual

PAMELA ROBIN BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212696
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
075083
NC
367500000X
Certified Registered Nurse Anesthetist
21028
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052815
NC
Enumeration date
11/01/2006
Last updated
07/07/2017
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