Provider Demographics
NPI:1962138453
Name:BURGER, EMILY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BURGER
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:GROOM
Mailing Address - State:TX
Mailing Address - Zip Code:79039-0512
Mailing Address - Country:US
Mailing Address - Phone:806-236-4333
Mailing Address - Fax:
Practice Address - Street 1:11520 COUNTY ROAD C
Practice Address - Street 2:
Practice Address - City:GROOM
Practice Address - State:TX
Practice Address - Zip Code:79039-7903
Practice Address - Country:US
Practice Address - Phone:806-236-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach