Provider Demographics
NPI:1134430085
Name:BURKERT, SARAH ISABELL (LPN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ISABELL
Last Name:BURKERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SHELDON DR
Mailing Address - Street 2:DRIVE
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-1216
Mailing Address - Country:US
Mailing Address - Phone:607-464-4005
Mailing Address - Fax:
Practice Address - Street 1:7 SHELDON DR
Practice Address - Street 2:DRIVE
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-1216
Practice Address - Country:US
Practice Address - Phone:607-464-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296877164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse