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NPI Code Detail

MEDICARE: NANETTE BURKE

MEDICARE:   NANETTE  BURKE
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
1164W00000XLicensed Practical Nurse227236-1NY

General Provider Information

NPI Number : 1700050762
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANETTE BURKE
Provider Business Mailing Address
First Line : 1162 E 224TH ST
Second Line :
City : BRONX
State : NY
Zip : 10466-5835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1162 E 224TH ST
Second Line :
City : BRONX
State : NY
Zip : 10466-5835
Country : US
Telephone Number : 917-749-6587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2008
Last Update Date : 04/21/2008

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Directions to “ NANETTE BURKE ” Practice Location

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