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NPI Code Detail

MEDICARE: ERIN BURKE LPN

MEDICARE: ERIN BURKE LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN14162ME

General Provider Information

NPI Number : 1023800059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BURKE LPN
Provider Business Mailing Address
First Line : 127 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 127 MAIN ST
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2647
Country : US
Telephone Number : 207-630-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2025
Last Update Date : 05/17/2025

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Directions to “ ERIN BURKE LPN” Practice Location

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