Individual
MRS. NINA FRANCES BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12 VILLAGE ST, SUITE 8, NORTH HAVEN, CT 06473-3828
(203) 777-2044
(203) 773-3641
Mailing address
12 VILLAGE ST, SUITE 8, NORTH HAVEN, CT 06473-3828
(203) 777-2044
(203) 773-3641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1059
KS
363A00000X
Physician Assistant
Primary
512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000212
BLUE CROSS
KS
05
—
100069780F
—
KS
05
—
100099480A
—
KS
Enumeration date
08/31/2006
Last updated
08/24/2016
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