Burk, Laci Ann
Burk, Laci Ann is an individual health care provider with primary practice located at 423 N 3Rd Ave Ste 210 , Sandpoint ID 83864-1511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burk, Laci Ann can be contacted via phone (208) 263-2173.Contact Information
Primary practice address
423 N 3Rd Ave Ste 210
Sandpoint ID 83864-1511
Phone: (208) 263-2173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NUR-RN-LIC-34875 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-1723A | Idaho |
Profile Details
| NPI number | 1588912836 |
|---|---|
| LBN Legal business name | Burk, Laci Ann |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2012 |
| Last updated | Oct 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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