Individual
MRS. CAROL A BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 473-0055
(757) 473-0075
Mailing address
134 BUSINESS PARK DRIVE, VIRGINIA BEACH, VA 23462-6523
(757) 473-0055
(757) 473-0075
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00228
MEDICARE PART B
VA
Enumeration date
02/23/2009
Last updated
08/10/2009
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