MEDICARE: MERRI A BURKE RN

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
1	163WC0400X	Case Management Registered Nurse	1373882051	KS

General Provider Information

NPI Number	:	1326531591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRI A BURKE RN

Provider Business Mailing Address
First Line	:	4401 W 74TH TER
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-2962
Country	:	US
Telephone Number	:	913-406-9341
Fax Number	:

Provider Business Practice Location Address
First Line	:	10234 MARION PARK DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137-1405
Country	:	US
Telephone Number	:	816-201-3254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2018
Last Update Date	:	06/12/2018

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