IndividualActive
Rachael Burgess, MSN, CPNP-AC, CPON
NPI 1174963136 · Pediatric Nurse Practitioner · Portland, ME
Provider details
- NPI number
- 1174963136
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, CPNP-AC, CPON
- Sex
- Female
- Sole proprietor
- No
- License
- RN632009 (PA)
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Registry dates
- Enumerated
- 2013-07-04
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.