Individual
MS. MEGHAN E BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-2375
(860) 571-6805
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003635
CT
363LA2200X
Adult Health Nurse Practitioner
003635
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003635
LICENSE
CT
05
—
1801096516
—
CT
Enumeration date
07/20/2007
Last updated
04/26/2018
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