MEDICARE: VALERIE A BURGELIN CFNP

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	363L00000X	Nurse Practitioner	R53853	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649290081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE A BURGELIN CFNP

Provider Business Mailing Address
First Line	:	10641 WINDSMONT CT
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-7268
Country	:	US
Telephone Number	:	239-258-1477
Fax Number	:	844-442-8248

Provider Business Practice Location Address
First Line	:	1690 N MAIN ST
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-1155
Country	:	US
Telephone Number	:	888-488-1258
Fax Number	:	844-442-8248

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/09/2025

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