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Contact Information

STEPHANIE G BURGESS
102 HERITAGE WAY NE
SUITE 302
LEESBURG, VA20176
 Phone: 703-771-5100
 Fax: 703-777-0170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE G BURGESS · (Female)

NPI Number 1487184081
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0001257773
  • Other 005996510-03 TRICARE PRIME
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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