Healthcare Provider Details

I. General information

NPI: 1609978717
Provider Name (Legal Business Name): DAVID A BURGIO APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY STE 601
RENO NV
89502-1472
US

IV. Provider business mailing address

850 HARVARD WAY # T5
RENO NV
89502-2055
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5000
  • Fax: 775-982-3900
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN28624
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN00339
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: