Provider Demographics
NPI:1487224713
Name:BURKE, DANIELLE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 ANCHOR RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2807
Mailing Address - Country:US
Mailing Address - Phone:717-805-8603
Mailing Address - Fax:
Practice Address - Street 1:101 W MAIN ST UNIT H
Practice Address - Street 2:
Practice Address - City:SALUNGA
Practice Address - State:PA
Practice Address - Zip Code:17538-1109
Practice Address - Country:US
Practice Address - Phone:717-892-6740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical