Individual
ERIN TE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 CROSSINGS DR STE B, PRESCOTT, AZ 86305-7159
(928) 277-0593
Mailing address
1510 W SYLVAN DR, PRESCOTT, AZ 86305-4029
(928) 458-4677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219603
AZ
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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