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NPI Code Detail

MEDICARE: MRS. DAWN PASQUARELLO BURKS APRN

MEDICARE:  MRS. DAWN PASQUARELLO BURKS  APRN
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
1363LA2200XAdult Health Nurse Practitioner3773SC
2363LA2200XAdult Health Nurse PractitionerGAA-NP000160GA

Other Identifiers

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

General Provider Information

NPI Number : 1538497946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN PASQUARELLO BURKS APRN
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 1631 GORDON HWY STE 17A
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-2229
Country : US
Telephone Number : 706-230-7006
Fax Number : 762-257-7442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2009
Last Update Date : 12/12/2025

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Directions to “ MRS. DAWN PASQUARELLO BURKS APRN” Practice Location

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