Burgess, Krista Nicole

Burgess, Krista Nicole is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Burgess, Krista Nicole can be contacted via phone (317) 274-4779.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 274-4779
Fax: (317) 948-9806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 28225152A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71013049A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71013049A Indiana

Profile Details

NPI number 1457073017
LBN Legal business name Burgess, Krista Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457073017 NPPES
Indiana MEDICAID 300069057

Popular Providers