Individual
LAURA HOWARD BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6127 HIGHWAY 16 SOUTH, DENVER, NC 28037
(704) 483-0340
Mailing address
15433 BARNSBURY DR, HUNTERSVILLE, NC 28078-3225
(704) 502-1416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
245553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245553
RN LICENSE
NC
01
—
5010256
FNP APPROVAL NUMBER
NC
Enumeration date
02/06/2018
Last updated
02/06/2018
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