Devan Deanne Burgess
Registered Nurse in Riverside, CA. Individual provider (NPI-1).
NPI number1619704442
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1619704442
- Entity type
- Individual (NPI-1)
- Name
- Devan Deanne Burgess
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95361606 | CA | Yes |
Practice location
6968 27th StRiverside, CA 92509-1500
Phone 951-288-0387
Mailing address
6968 27th StRiverside, CA 92509-1500
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