Individual
THOMAS BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718-1320
(302) 733-1000
(302) 733-2685
Mailing address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
(302) 709-4551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00138
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194780858
—
DE
01
—
L6-0A00138
CRNA
PA
Enumeration date
04/18/2006
Last updated
05/10/2016
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