Individual
TIFFANY DAWN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(866) 404-2313
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R0084153
OK
363LF0000X
Family Nurse Practitioner
AP115719
TX
Other
Enumeration date
11/03/2006
Last updated
04/23/2020
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