Provider Demographics
NPI:1477549269
Name:BURKE, NOREEN A (ARNP)
Entity type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:A
Last Name:BURKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 JENKS AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2474
Mailing Address - Country:US
Mailing Address - Phone:850-785-0515
Mailing Address - Fax:850-818-0729
Practice Address - Street 1:1007 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2474
Practice Address - Country:US
Practice Address - Phone:850-785-0515
Practice Address - Fax:850-818-0729
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2982552363LX0001X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301659500Medicaid
FL301659500Medicaid
FLP36474Medicare UPIN