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NPI Code Detail

MEDICARE: CATHERINE BURKE-SHAHIN NP

MEDICARE: CATHERINE BURKE-SHAHIN NP
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
1363L00000XNurse PractitionerRN2262990MA
2363LA2200XAdult Health Nurse PractitionerCOA.15951-NPOH

General Provider Information

NPI Number : 1225311533
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE BURKE-SHAHIN NP
Provider Business Mailing Address
First Line : 7400 HUNTINGTON PARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43235
Country : US
Telephone Number : 614-505-0377
Fax Number :
Provider Business Practice Location Address
First Line : 7400 HUNTINGTON PARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-5617
Country : US
Telephone Number : 614-505-0377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 04/13/2017

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