Individual
CHRISTINA BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1451 10TH ST, SARASOTA, FL 34236-4048
(941) 331-2530
Mailing address
1451 10TH ST, SARASOTA, FL 34236-4048
(941) 331-2530
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11011876
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
904436
MS
Other
Enumeration date
03/09/2021
Last updated
03/07/2022
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