Individual
THERESA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1838 GREENE TREE RD STE 460, BALTIMORE, MD 21208-7113
(410) 581-1600
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(410) 581-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R197176
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R197176
STATE LICENSE
MD
Enumeration date
07/21/2020
Last updated
07/21/2020
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