Traci Richards Burks in Bossier City - Nurse Practitioner
Traci Richards Burks - NPI 1528171899
Traci Richards Burks is a Nurse Practitioner in Bossier City, Louisiana. Traci Richards Burks practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Traci Richards Burks is 1528171899. The last update date is 2023-01-18.
Traci Richards Burks's current location address is 223 Avondale Ln, Bossier City, Louisiana. You can contact this provider via phone number 3183490722 and fax number 3185491360. The mailing address for Traci Richards Burks is 223 Avondale Ln, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Richards Burks |
|---|---|
| Address | 223 Avondale Ln, Bossier City, Louisiana |
| Phone Number | 3183490722 |
| Fax Number | 3185491360 |
| Sole Proprietor | Y |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1528171899 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 223 Avondale Ln |
|---|---|
| City | Bossier City |
| State | Louisiana (LA) |
| Post Code | 711124266 |
| Phone Number | 3183490722 |
| Fax Number | 3185491360 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1-070234 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Traci Richards Burks by the Centers for Medicare & Medicaid Services?
The Traci Richards Burks has been issued the NPI (National Provider Identifier) 1528171899 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Traci Richards Burks?
The Traci Richards Burks is situated at 223 Avondale Ln, in the city of Bossier City, state of LA, with the zip code 711124266.
What is Traci Richards Burks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Traci Richards Burks's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528171899 to Traci Richards Burks?
The Centers for Medicare & Medicaid Services originally issued the 1528171899 to Traci Richards Burks on 2006-08-17.
When was the information pertaining to Traci Richards Burks most recently updated or revised?
The details related to Traci Richards Burks, including its address, specialty, and other relevant information, were last updated or revised on 2023-01-18.
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