Individual
DIANA M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
2414 MILLIKAN RD, CHAPEL HILL, NC 27516-7409
(919) 370-0903
Mailing address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(919) 370-0903
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
093041
NC
363LG0600X
Gerontology Nurse Practitioner
600011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561380014H
HUMANA
—
01
—
811996
PARTNERS
NC
Enumeration date
03/29/2007
Last updated
06/19/2014
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