Healthcare Provider Details

I. General information

NPI: 1649765132
Provider Name (Legal Business Name): CARA BETH BURKER DNP FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 UNDERPASS WAY STE 300
HAGERSTOWN MD
21740-8158
US

IV. Provider business mailing address

1710 UNDERPASS WAY STE 300
HAGERSTOWN MD
21740-8158
US

V. Phone/Fax

Practice location:
  • Phone: 301-791-6360
  • Fax: 240-452-1854
Mailing address:
  • Phone: 301-791-6360
  • Fax: 240-452-1854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberR115328
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN86960
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: