MEDICARE: PATRICIA A BURKEEN N.P.

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
1	363LA2200X	Adult Health Nurse Practitioner	53363	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356346969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A BURKEEN N.P.

Provider Business Mailing Address
First Line	:	8890 N UNION BLVD
Second Line	:	STE 160
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7799
Country	:	US
Telephone Number	:	719-365-9950
Fax Number	:	719-365-9969

Provider Business Practice Location Address
First Line	:	175 S UNION BLVD
Second Line	:	STE 310
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-3113
Country	:	US
Telephone Number	:	719-365-6363
Fax Number	:	719-365-5801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	02/03/2014

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