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NPI Code Detail

MEDICARE: KAITLIN BURG APRN, FNP-C

MEDICARE: KAITLIN BURG APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.024410OH
2363LF0000XFamily Nurse PractitionerAPRN11041709FL

General Provider Information

NPI Number : 1821558834
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN BURG APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 12/10/2025

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Directions to “ KAITLIN BURG APRN, FNP-C” Practice Location

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