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NPI Code Detail

MEDICARE: MRS. CLARE T BURKE RN

MEDICARE: MRS. CLARE T BURKE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse398114CA

General Provider Information

NPI Number : 1033393152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLARE T BURKE RN
Provider Business Mailing Address
First Line : 2430 PROSPECT STREET
Second Line : #305
City : BERKELEY
State : CA
Zip : 94704-2550
Country : US
Telephone Number : 415-373-7553
Fax Number :
Provider Business Practice Location Address
First Line : 2430 PROSPECT STREET
Second Line : #305
City : BERKELEY
State : CA
Zip : 94704-2550
Country : US
Telephone Number : 415-373-7553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2007
Last Update Date : 08/08/2012

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