Burke, Mary K
Burke, Mary K is an individual health care provider with primary practice located at 95 N Moorland Rd , Brookfield WI 53005-6020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burke, Mary K can be contacted via phone (262) 786-9037.Contact Information
Primary practice address
95 N Moorland Rd
Brookfield WI 53005-6020
Phone: (262) 786-9037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 923 | Wisconsin |
Profile Details
| NPI number | 1336112952 |
|---|---|
| LBN Legal business name | Burke, Mary K |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 13th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336112952 | NPPES |
| Wisconsin | MEDICAID | 43873700 |
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