Provider Demographics
NPI:1033393152
Name:BURKE, CLARE T (RN)
Entity Type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:T
Last Name:BURKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 PROSPECT STREET
Mailing Address - Street 2:#305
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2550
Mailing Address - Country:US
Mailing Address - Phone:415-373-7553
Mailing Address - Fax:
Practice Address - Street 1:2430 PROSPECT STREET
Practice Address - Street 2:#305
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2550
Practice Address - Country:US
Practice Address - Phone:415-373-7553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398114163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health