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General NPI Number Information
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NPI Number | 1164857488
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Entity Type | Individual
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Provider Name | MARIA L BURGESS APRN
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 4670 S FORT APACHE RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89147-7942
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Country | US
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Telephone | 702-465-7471
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Fax | 702-323-4285
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Provider Business Mailing Address
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Address Line | 4670 S FORT APACHE RD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89147-7942
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Country | US
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Telephone | 702-465-7471
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Fax | 702-323-4285
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN001574
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License Number State | NV
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