Individual
AMANDA LIN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02100758
—
MS
05
—
2403346
—
LA
Enumeration date
09/01/2015
Last updated
02/24/2016
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