Rachel Lauren Burgess, APRN, FNP-C
Nurse Practitioner, Family in Valliant, OK. Individual provider (NPI-1).
NPI number1235637893
StatusActive
Last updated in NPPESAug 22, 2022
Details
- NPI
- 1235637893
- Entity type
- Individual (NPI-1)
- Name
- Rachel Lauren Burgess
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2018
- Certification date
- Aug 22, 2022
- Last updated
- Aug 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 99969 | OK | Yes |
Practice location
508 E Wilson StValliant, OK 74764-9115
Phone 580-933-9025 · Fax 833-382-0111
Mailing address
101 E Terri DrValliant, OK 74764-6801
Phone 580-933-9024 · Fax 580-933-9027
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