Provider Demographics
NPI:1013437490
Name:BURGIO, THALIA
Entity Type:Individual
Prefix:
First Name:THALIA
Middle Name:
Last Name:BURGIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 MIDTOWN LOOP
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-2641
Mailing Address - Country:US
Mailing Address - Phone:513-739-3240
Mailing Address - Fax:
Practice Address - Street 1:328 MIDTOWN LOOP
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-2641
Practice Address - Country:US
Practice Address - Phone:513-739-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula