Healthcare Provider Details

I. General information

NPI: 1083525646
Provider Name (Legal Business Name): LAUREN ELAINE BURKE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 MARBLE AVE
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

2849 VEREDA DE PUEBLO
SANTA FE NM
87507-5361
US

V. Phone/Fax

Practice location:
  • Phone: 800-690-0934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number87433
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: