Burke, Kristen Nicole

Burke, Kristen Nicole is an individual health care provider with primary practice located at 3726 Broadway Ste 201 , Everett WA 98201-3788. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Burke, Kristen Nicole can be contacted via phone (425) 317-9119.

Contact Information

Primary practice address
3726 Broadway Ste 201 Everett WA 98201-3788
Phone: (425) 317-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60803227 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020524 New York

Profile Details

NPI number 1780122242
LBN Legal business name Burke, Kristen Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2017
Last updated May 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780122242 NPPES
Washington MEDICAID 2096348

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