Provider Demographics
NPI:1952484610
Name:BURGES, DEBRA E (BSN, RN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:E
Last Name:BURGES
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:S-116, 6 EAST
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-5106
Mailing Address - Fax:206-277-4856
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:S-116, 6 EAST
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-5106
Practice Address - Fax:206-277-4856
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00145505163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse