Provider Demographics
NPI:1285197517
Name:BURKE MILLER, ADRIENNE (CNM)
Entity Type:Individual
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First Name:ADRIENNE
Middle Name:
Last Name:BURKE MILLER
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:1661 E CEMELBACK ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3913
Mailing Address - Country:US
Mailing Address - Phone:602-422-9000
Mailing Address - Fax:602-556-5951
Practice Address - Street 1:22711 S. ELLSWORTH ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-6789
Practice Address - Country:US
Practice Address - Phone:480-782-0993
Practice Address - Fax:833-337-0386
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2022-10-06
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Provider Licenses
StateLicense IDTaxonomies
AZ222582363LX0001X
AZRN131036363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology