Provider Demographics
NPI:1326531591
Name:BURKE, MERRI A (RN)
Entity Type:Individual
Prefix:
First Name:MERRI
Middle Name:A
Last Name:BURKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MERRI
Other - Middle Name:A
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4401 W 74TH TER
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2962
Mailing Address - Country:US
Mailing Address - Phone:913-406-9341
Mailing Address - Fax:
Practice Address - Street 1:10234 MARION PARK DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-1405
Practice Address - Country:US
Practice Address - Phone:816-201-3254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1373882051163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management