Mary Burke, R.N.
Individual provider Active NPI Registered Nurse · Jackson, WI
NPI 1487923447 · NPPES record last updated Dec 21, 2011
Key facts
- NPI
- 1487923447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 66331-30 (WI)
- Practice address
- 2694 Oak Knoll Dr
Jackson, WI 53037-9013 - Phone
- (262) 674-1744
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66331-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 66331-30 | WI | Yes |
Addresses
Primary practice location
2694 Oak Knoll Dr
Jackson, WI 53037-9013
Mailing address
2694 Oak Knoll Dr
Jackson, WI 53037-9013
Phone (262) 674-1744
Other providers in Jackson, WI
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- Julie A Bloy
- Staci Ann Bohling
- Lauren Brandt
- Christine Natalie Bruno
- Andrew Francis Charland
- Children'S Medical Group
- Gregory A. Claypool
- Stacey L Davison
- Abigail Lee Deming
All providers in Jackson, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.