Individual
TAMMY RENA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 JAKE ALEXANDER BLVD W STE 104, SALISBURY, NC 28147-1385
(704) 645-0901
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005254
NC
363L00000X
Nurse Practitioner
F0611711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005087
—
NC
Enumeration date
07/22/2011
Last updated
10/06/2025
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