Individual
SALENA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3487 NW 30TH ST, LAUDERDALE LAKES, FL 33311-1103
(954) 739-6233
Mailing address
17120 SW 49TH PL, MIRAMAR, FL 33027-4919
(954) 985-8045
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11006782
FL
363LG0600X
Gerontology Nurse Practitioner
11006782
FL
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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