Doctor Name: | NATALIE KAREN BURKS |
NPI Number: | 1053304626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 250616 |
Business Practice Address: | 100 Willow Creek Pkwy Suite C Palestine, TX - 758014383 |
Business Phone Number: | 9037238210 |
Business Fax Number: | 9037238310 |
Mailing Address: | Po Box 817, PALESTINE |
State: | TX |
Postal Code: | 758020817 |
Phone Number: | 9037270110 |
Fax Number: | 9037270210 |
NPI Enumeration Date: | 08/29/2005 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 250616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |