Amanda Lori Burgess, | |
1422 E Lark St, Gilbert, AZ 85297-4577 | |
(480) 603-7380 | |
Not Available |
Full Name | Amanda Lori Burgess |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1422 E Lark St, Gilbert, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508512302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN144952 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 280404 (Arizona) | Primary |
Entity Name | Health Group Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932560729 PECOS PAC ID: 9335430693 Enrollment ID: O20160617000240 |
Entity Name | Renew Infusions |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104476993 PECOS PAC ID: 2062819410 Enrollment ID: O20210928000480 |
Mailing Address | Practice Location Address |
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Amanda Lori Burgess, 1422 E Lark St, Gilbert, AZ 85297-4577 Ph: () - | Amanda Lori Burgess, 1422 E Lark St, Gilbert, AZ 85297-4577 Ph: (480) 603-7380 |
Perla Quinones, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1166 E Warner Rd Ste 206, Gilbert, AZ 85296 Phone: 480-331-2201 Fax: 480-800-4944 | |
Kimberly Michelle Flake, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1020 S Roles Dr, Gilbert, AZ 85296 Phone: 480-216-1837 | |
Monica Hulsey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 471 N 159th Pl, Gilbert, AZ 85234 Phone: 602-505-7984 | |
Kimberly Matejka, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 S Val Vista Dr Ste 214, Gilbert, AZ 85297 Phone: 480-718-9960 | |
Mrs. Dana M. Rodriguez, N.P., PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6285 S Higley Rd, Gilbert, AZ 85298 Phone: 480-460-4949 Fax: 480-460-5858 | |
Jenny Littrell, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095 | |
Stephanie Streit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4766 E Queen Creek Rd, Gilbert, AZ 85297 Phone: 855-925-4733 |