Individual
MARY K BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
95 N MOORLAND RD, BROOKFIELD, WI 53005-6020
(262) 786-9037
Mailing address
95 N MOORLAND RD, BROOKFIELD, WI 53005-6020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
923
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43873700
—
WI
Enumeration date
02/13/2006
Last updated
07/13/2007
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