Individual
MRS. NATASHA JOAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
830 HARRISON AVE BLDG 3, BOSTON, MA 02118-2905
(617) 638-6428
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02118
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2363242
MA
Other
Enumeration date
02/14/2017
Last updated
04/03/2024
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