Individual
RYAN JAMES BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
415 MORRIS ST, CHARLESTON, WV 25301-1842
(304) 344-3551
Mailing address
1906 OAKRIDGE DR, CHARLESTON, WV 25311-1326
(304) 541-5132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102122
WV
363L00000X
Nurse Practitioner
Primary
124353
WV
Other
Enumeration date
07/16/2025
Last updated
10/15/2025
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