Doctor Name: | DAWN MARIE BURKE |
NPI Number: | 1093049819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 71003040A |
Business Practice Address: | 13914 Southeastern Pkwy Fishers, IN - 460377127 |
Business Phone Number: | 3174159110 |
Business Fax Number: | 3174159113 |
Mailing Address: | 11899 Somerset Way S, CARMEL |
State: | IN |
Postal Code: | 460333340 |
Phone Number: | 3175697351 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 71003040A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |