Provider Demographics
NPI:1790559672
Name:BURGE, KARIE JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:JEAN
Last Name:BURGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3244 LYELL RD
Mailing Address - Street 2:
Mailing Address - City:GATES
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4726
Mailing Address - Country:US
Mailing Address - Phone:585-313-8647
Mailing Address - Fax:
Practice Address - Street 1:3244 LYELL RD
Practice Address - Street 2:
Practice Address - City:GATES
Practice Address - State:NY
Practice Address - Zip Code:14606-4726
Practice Address - Country:US
Practice Address - Phone:585-313-8647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658551-01163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health