Doctor Name: | MRS. WHITNEY MARIE BURK |
NPI Number: | 1699159988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN |
License Number: | A004552 |
Business Practice Address: | 108 W Main Street Chouteau, OK - 743372842 |
Business Phone Number: | 9184766030 |
Business Fax Number: | 9184766038 |
Mailing Address: | Po Box 315, CHOUTEAU |
State: | OK |
Postal Code: | 743370315 |
Phone Number: | 9184766030 |
Fax Number: | 9184766038 |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A004552 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |