Individual
MRS. ELIZABETH R. BURCKARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 852-5841
(502) 852-1359
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-5841
(502) 852-1359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005216
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3005218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000626497
ANTHEM
KY
01
—
000000642019
ANTHEM - NNIKY
KY
01
—
000028412N
HUMANA - NNIKY
KY
01
—
106198
SIHO
KY
01
—
50025465
PASSPORT
KY
01
—
50048427
PASSPORT - CTS
KY
05
—
7100013980
—
KY
01
—
P00824827
RAILROAD MEDICARE KY
KY
Enumeration date
07/12/2007
Last updated
06/21/2019
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