Amanda Sue Burgesen
Amanda Sue Burgesen is a Certified Registered Nurse Anesthetist (CRNA) in O Fallon, Illinois. Qualified in 2020, 6 years ago. Practices with Midwest Anesthesia Providers SC, a 182-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 6
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1 Saint Elizabeth BlvdO Fallon, IL 62269-1099
Phone: (618) 234-2120
Fax: (618) 641-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 209021562 (IL) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 041448788 (IL) |
Record details
| NPI number | 1568084903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2020 |
| Last updated in NPPES | July 7, 2020 |
| Certification date | July 7, 2020 |
| Mailing address | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Midwest Anesthesia Providers Sc — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in O Fallon
-
Brenna M Thomas, CRNA
1310 Engle Ct, O Fallon, IL 62269 · (618) 581-2854