Provider Demographics
NPI:1558552372
Name:BURKE, SUSAN DODDS (RNBSN)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:DODDS
Last Name:BURKE
Suffix:
Gender:F
Credentials:RNBSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:7362 SHAD LANE
Mailing Address - City:POINT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:18950-0242
Mailing Address - Country:US
Mailing Address - Phone:215-297-8873
Mailing Address - Fax:215-297-8873
Practice Address - Street 1:202 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2916
Practice Address - Country:US
Practice Address - Phone:215-822-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN235020L163WI0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0600XNursing Service ProvidersRegistered NurseInfection Control