Healthcare Provider Details

I. General information

NPI: 1992969141
Provider Name (Legal Business Name): NORA ELIZABETH BURKART MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NORA ELIZABETH BRICENO MD

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 FRANCE AVE S STE 510
EDINA MN
55435-4551
US

IV. Provider business mailing address

7373 FRANCE AVENUE S SUITE 510
EDINA MN
55435-4551
US

V. Phone/Fax

Practice location:
  • Phone: 612-562-8630
  • Fax: 952-830-0091
Mailing address:
  • Phone: 612-562-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number53686
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: