Healthcare Provider Details

I. General information

NPI: 1770504516
Provider Name (Legal Business Name): LINDA A BURGER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 12/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 GRANGER RD SUITE 1
BERLIN VT
05602-9516
US

IV. Provider business mailing address

PO BOX 547 CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
BARRE VT
05641-0547
US

V. Phone/Fax

Practice location:
  • Phone: 802-371-5950
  • Fax: 802-371-5951
Mailing address:
  • Phone: 802-371-5950
  • Fax: 802-371-5951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0021053
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number101.0021053
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number101-0021053
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: