Burkstaller, Marie Adele

Burkstaller, Marie Adele is an individual health care provider with primary practice located at 9103 Jefferson Hwy , Baton Rouge LA 70809-2440. 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. Burkstaller, Marie Adele can be contacted via phone (225) 927-1190.

Contact Information

Primary practice address
9103 Jefferson Hwy Baton Rouge LA 70809-2440
Phone: (225) 927-1190
Fax: (225) 706-0160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN06722 Louisiana

Profile Details

NPI number 1245211341
LBN Legal business name Burkstaller, Marie Adele
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 12th, 2014 - about 10 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 1245211341 NPPES
Louisiana MEDICAID 1539775
Louisiana Other P00019003

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