MEDICARE: DAVID A BURGIO APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN28624	NV
2	363L00000X	Nurse Practitioner	APN00339	NV

General Provider Information

NPI Number	:	1609978717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A BURGIO APN

Provider Business Mailing Address
First Line	:	850 HARVARD WAY # T5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2055
Country	:	US
Telephone Number	:	775-982-5262
Fax Number	:	775-982-5496

Provider Business Practice Location Address
First Line	:	75 PRINGLE WAY STE 601
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-1472
Country	:	US
Telephone Number	:	775-982-5000
Fax Number	:	775-982-3900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	10/02/2018

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Directions to “ DAVID A BURGIO APN” Practice Location

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