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Individual

HELENE Y BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8566
(314) 771-1945
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8566
(314) 771-1945

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
2012024477
MO
363LF0000X
Family Nurse Practitioner
Primary
2012024477
MO

Other

Enumeration date
08/27/2012
Last updated
12/10/2020
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