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NPI Code Detail

MEDICARE: LORI BETH BURKE FNP

MEDICARE: LORI BETH BURKE FNP
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
1363LF0000XFamily Nurse PractitionerAP2723AZ

General Provider Information

NPI Number : 1699975508
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI BETH BURKE FNP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 615-314-5257
Fax Number :
Provider Business Practice Location Address
First Line : 4420 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4504
Country : US
Telephone Number : 602-858-4295
Fax Number : 602-858-4297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2007
Last Update Date : 01/26/2023

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