Individual provider · Type 1 NPI
Prentiss Burke
Licensed Practical Nurse · Fairbanks, UM
NPI number
1902247778
Active
Practice location
1223 27th Ave
Fairbanks, UM 99701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 081170 (GA) |
| Nurse's Aide | 376K00000X | 77580 (TN) |
| Licensed Practical Nurse Primary | 164W00000X | 61932 (TN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1902247778
Prentiss Burke's National Provider Identifier is 1902247778, issued on Jul 9, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fairbanks, UM. The record was last updated on Jul 9, 2013.