Individual
MRS. STACEY ANN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4302 SAINT BARNABAS RD STE G, TEMPLE HILLS, MD 20748-1842
(240) 601-7304
Mailing address
7805 GLENARDEN PKWY, GLENARDEN, MD 20706-1711
(301) 768-1141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R180936
MD
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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