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Individual

TRACI BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
26 JARNAUL AVE, ASHEVILLE, NC 28804-2249
(828) 242-5393

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128100
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072787
CCNA CERT
05
8052481
NC
Enumeration date
05/16/2006
Last updated
09/11/2009
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