Individual
MRS. NANCY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, SUITES, GREENVILLE, SC 29615-4545
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
114488
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
17902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114488
LICENSE
NC
05
—
8050372
—
NC
05
—
PENDING
—
SC
Enumeration date
09/20/2006
Last updated
05/31/2016
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