PROF. CONSTANCE ANGELA BURKE PA-C NPI 1194076042

NPI Information

NPI: 1194076042
Provider Name: PROF. CONSTANCE ANGELA BURKE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4001 W MCNICHOLS RD
DETROIT, MI
ZIP 48221
Phone: (313) 993-1773
Get Directions

PROF. Constance Angela Burke, PA-C is a medical physician assistant in Detroit, MI. PROF. Constance Angela Burke, PA-C NPI is 1194076042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4001 W MCNICHOLS RD
DETROIT, MI
ZIP 48221-038
Phone: (313) 993-1773

The enumeration date for this NPI number is 10/1/2012 and was last updated on 3/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601002877	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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