MEDICARE: MRS. MEAGAN ANN BURGESS APRN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	ARNP9366520	FL

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	:	1891261863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEAGAN ANN BURGESS APRN, FNP-BC

Provider Business Mailing Address
First Line	:	151 ANCONA AVE
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-5403
Country	:	US
Telephone Number	:	407-361-5785
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 WAYMONT CT STE 101
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3586
Country	:	US
Telephone Number	:	407-732-4627
Fax Number	:	641-244-3515

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

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	05/25/2026

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