Individual
DIANE K. BURKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
8000 5 MILE RD STE 207, CINCINNATI, OH 45230-2163
(513) 474-2870
(513) 688-8585
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
CTP000983/RN228988
OH
363LF0000X
Family Nurse Practitioner
Primary
00983
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017829
—
OH
Enumeration date
08/23/2006
Last updated
09/10/2020
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