Individual
BURGESS BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16415 NORTHCROSS DR, HUNTERSVILLE, NC 28078-5001
(480) 882-4000
Mailing address
103 MATTOON ST, CHARLOTTE, NC 28216-5252
(480) 465-3498
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
224152
AZ
Other
Enumeration date
04/22/2019
Last updated
02/09/2026
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