Healthcare Provider Details

I. General information

NPI: 1346441136
Provider Name (Legal Business Name): ANNE ELIZABETH BURKE RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HARRY S TRUMAN PKWY
ANNAPOLIS MD
21401-7042
US

IV. Provider business mailing address

3116 STONEHENGE DR
RIVA MD
21140-1505
US

V. Phone/Fax

Practice location:
  • Phone: 410-222-7240
  • Fax:
Mailing address:
  • Phone: 410-956-5233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRO53129
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: