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Corlista Anne Burgess, CNM, PHMNP-BC

Nurse Practitioner, Psych/Mental Health in Hampton, VA. Individual provider (NPI-1).

NPI number1982945069
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1982945069
Entity type
Individual (NPI-1)
Name
Corlista Anne Burgess
Credential
CNM, PHMNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 14, 2013
Certification date
Nov 27, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health0024170057VAYes
176B00000X Midwife0024170057VA

Other names

  • Corlista Anne Damon (Former Name)

Practice location

2604 E Pembroke Ave
Hampton, VA 23664-1248

Phone 757-810-2663

Mailing address

2604 E Pembroke Ave
Hampton, VA 23664-1248

Phone 757-810-2663

Other practice locations

716 Denbigh Blvd Ste E2
Newport News, VA 23608-4414

Phone 757-874-2790

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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.

Other Psychiatric/Mental Health Nurse Practitioner providers in Hampton, VA

All 43 Psychiatric/Mental Health Nurse Practitioner providers in Hampton · All 3,376 providers in Hampton

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