Individual
ANDREA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
244362
TX
363LN0000X
Neonatal Nurse Practitioner
244362
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP102824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096182302
—
TX
05
—
096182303
—
TX
05
—
096182304
—
TX
05
—
096182305
—
TX
05
—
200061540A
—
OK
05
—
84626836
—
NM
Enumeration date
09/27/2006
Last updated
05/03/2016
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