Individual provider · Type 1 NPI

Vanessa Lee Spivey-Burke, MS, APRN, BC - GNP

Gerontology Nurse Practitioner · Northport, NY

NPI number 1073578712 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Fax (631) 254-5132

Mailing address

336-13 Commack Rd
Deer Park, NY 11729

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XF340161-1 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1073578712

Vanessa Lee Spivey-Burke, MS, APRN, BC - GNP's National Provider Identifier is 1073578712, issued on Apr 18, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Northport, NY. The record was last updated on May 11, 2010.