Provider Demographics
NPI:1467636670
Name:BURKHART, BENNITA J (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BENNITA
Middle Name:J
Last Name:BURKHART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3613 WYOMING DRIVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8929
Mailing Address - Country:US
Mailing Address - Phone:610-334-0829
Mailing Address - Fax:
Practice Address - Street 1:301 SOUTH 7TH AVENUE
Practice Address - Street 2:SUITE 365
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1436
Practice Address - Country:US
Practice Address - Phone:610-370-2500
Practice Address - Fax:610-376-8239
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP009561363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology