Healthcare Provider Details

I. General information

NPI: 1578408258
Provider Name (Legal Business Name): KATHERINE ANNE BURKE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR
SUN CITY AZ
85373-2011
US

IV. Provider business mailing address

10451 W PALMERAS DR
SUN CITY AZ
85373-2011
US

V. Phone/Fax

Practice location:
  • Phone: 513-886-7754
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberPMH03260071
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: