Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 19242 | TN |
N | 363LA2200X | Nurse Practitioner - Adult Health | 19242 | TN |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 1-157182 | AL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 19242 | TN |
N | 363LP2300X | Nurse Practitioner - Primary Care | 19242 | TN |
NPI | 1063815082 |
---|---|
Provider Name | Miss Morgan A Burke |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2014 |
Last Update Date | 17/01/2017 |