Individual
MADELEINE CAROL BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1155 COMMERCE DR, SUITE G, LAS CRUCES, NM 88011-8257
(575) 647-5337
(575) 647-5338
Mailing address
1009 GOLF COURSE RD SE STE 109, RIO RANCHO, NM 87124-4705
(505) 891-3344
(505) 896-4499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1106370
KY
163W00000X
Registered Nurse
16072
ID
163W00000X
Registered Nurse
RN-84646
NM
363LF0000X
Family Nurse Practitioner
16073A
ID
363LF0000X
Family Nurse Practitioner
4594P
KY
363LF0000X
Family Nurse Practitioner
Primary
CNP-03017
NM
Other
Enumeration date
11/09/2006
Last updated
03/28/2017
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