Provider Demographics
NPI:1669628657
Name:BURKE, ANNE JEANNETTE (CMT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:JEANNETTE
Last Name:BURKE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2577 S PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5722
Mailing Address - Country:US
Mailing Address - Phone:303-618-0901
Mailing Address - Fax:
Practice Address - Street 1:2577 S PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5722
Practice Address - Country:US
Practice Address - Phone:303-618-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor