Provider Demographics
NPI:1750320982
Name:BURKE, PATRICIA F (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:BURKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 CHEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3014
Mailing Address - Country:US
Mailing Address - Phone:301-772-7893
Mailing Address - Fax:
Practice Address - Street 1:710 BEACON RD
Practice Address - Street 2:SCHOOL BASED HEALTH CENTER
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2568
Practice Address - Country:US
Practice Address - Phone:301-431-6010
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR109491363LF0000X, 364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health