Provider Demographics
NPI:1184086050
Name:BURKART, NANCY (MT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BURKART
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4700 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3634
Mailing Address - Country:US
Mailing Address - Phone:571-232-3179
Mailing Address - Fax:703-852-4371
Practice Address - Street 1:1276 N WAYNE ST
Practice Address - Street 2:#1100
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201
Practice Address - Country:US
Practice Address - Phone:571-232-3179
Practice Address - Fax:703-852-4371
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment