Provider Demographics
NPI:1831333236
Name:BURCKHARDT, LORI JEANNE (ARNP; NP-C)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:JEANNE
Last Name:BURCKHARDT
Suffix:
Gender:F
Credentials:ARNP; NP-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5771 ROOSEVELT BOULEVARD
Mailing Address - Street 2:SUNCOAST HOSPICE
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760
Mailing Address - Country:US
Mailing Address - Phone:727-586-4432
Mailing Address - Fax:727-523-3251
Practice Address - Street 1:5771 ROOSEVELT BOULEVARD
Practice Address - Street 2:SUNCOAST HOSPICE
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760
Practice Address - Country:US
Practice Address - Phone:727-586-4432
Practice Address - Fax:727-523-3251
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9171487363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health