Provider Demographics
NPI:1912298266
Name:BURGER, ABBEY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:ELIZABETH
Last Name:BURGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:ELIZABETH
Other - Last Name:NIEDZIELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3196 S MARYLAND PKWY
Mailing Address - Street 2:STE 209
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2313
Mailing Address - Country:US
Mailing Address - Phone:702-944-2805
Mailing Address - Fax:
Practice Address - Street 1:3196 S MARYLAND PKWY STE 209
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2313
Practice Address - Country:US
Practice Address - Phone:702-944-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT49474207V00000X
NVDO2188207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology