Amanda Burgoyne, RN
Registered Nurse in Longview, WA. Individual provider (NPI-1).
NPI number1013336775
StatusActive
Last updated in NPPESApr 10, 2014
Details
- NPI
- 1013336775
- Entity type
- Individual (NPI-1)
- Name
- Amanda Burgoyne
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2014
- Last updated
- Apr 10, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN00177504 | WA | Yes |
Practice location
139 Talkeetna Hts PlLongview, WA 98632-5920
Phone 360-560-5776
Mailing address
139 Talkeetna Hts PlLongview, WA 98632-5920
Phone 360-560-5776
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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