Individual
KATRINA BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
173 SAINT PAUL ST, BURLINGTON, VT 05401-4636
(866) 476-1321
(802) 863-4951
Mailing address
784 HERCULES DR STE 110, ATTN CREDENTIALING/RAYCHEL NELSON, COLCHESTER, VT 05446-8049
(802) 448-9787
(802) 448-9787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
084296-23
NH
363LF0000X
Family Nurse Practitioner
Primary
101.0109464
VT
363LF0000X
Family Nurse Practitioner
CNP201517
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025621
—
VT
05
—
3126540
—
NH
Enumeration date
07/07/2015
Last updated
02/09/2023
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