Individual
MRS. MARISA I BURGOS-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3900 SOUTH RD, CHESAPEAKE, VA 23321-3614
(216) 820-3727
Mailing address
3900 SOUTH RD, CHESAPEAKE, VA 23321-3614
(216) 820-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177374
VA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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