Individual
LAURA K. BURGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1986 W HAYDEN AVE, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Mailing address
1986 W HAYDEN AVE, HAYDEN, ID 83835-7412
(208) 762-7760
(208) 762-7740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA533
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370136
MEDICARE GROUP PTAN
—
01
—
16666921
MEDICARE PTAN
—
05
—
7144785
—
WA
05
—
807116700
—
ID
05
—
8080036
—
ID
05
—
8421174
—
WA
Enumeration date
04/20/2006
Last updated
06/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us