Dawn M Burke, CNP
Individual provider Active NPI Primary Care Nurse Practitioner · Roseville, MI
NPI 1568635522 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1568635522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 4704191003 (MI)
- Practice address
- 25195 Kelly Rd
Suite a
Roseville, MI 48066-4909 - Phone
- (586) 775-4594
- Fax
- (586) 775-4506
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704191003 | MI | Yes |
Addresses
Primary practice location
25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Mailing address
25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Phone (586) 775-4594
Other names
- Dawn Lee Macdonald
Other providers in Roseville, MI
- Henry Gasson Bryan
- David Peter Bryk
- Emanuel Buggs
- Brandon Bulmer
- Louise Michelle Burgan
- Betty C Caldwell
- Paul E Campbell
- Todd Garrison Campbell
- Jillian Cantrell
- David Paul Caplan
All providers in Roseville, MI · Primary Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2017. 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.