Healthcare Provider Details

I. General information

NPI: 1487632063
Provider Name (Legal Business Name): KAREN SUE BURGOON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 BABCOCK BLVD SUITE 2120
PITTSBURGH PA
15237-5818
US

IV. Provider business mailing address

155 MEMORIAL DR
PINEHURST NC
28374-8710
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-0600
  • Fax: 412-367-7079
Mailing address:
  • Phone: 412-860-9781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5000686
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0050-00686
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007580
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: