Individual
AMY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
123 SUMMER ST STE 210, WORCESTER, MA 01608-1216
(508) 368-3190
(508) 368-3193
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 368-3190
(508) 368-3193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2280186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110190239A
—
MA
Enumeration date
05/16/2022
Last updated
03/21/2024
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