Burke, Traci

Burke, Traci is an individual health care provider with primary practice located at 1144 N Road St , Elizabeth City NC 27909-3353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Burke, Traci can be contacted via phone (252) 335-0531.

Contact Information

Primary practice address
1144 N Road St Elizabeth City NC 27909-3353
Phone: (252) 335-0531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 128100 North Carolina

Profile Details

NPI number 1689626954
LBN Legal business name Burke, Traci
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 11th, 2009 - about 15 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 1689626954 NPPES
Other 072787 CCNA CERT
MEDICAID 8052481 CCNA CERT

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