Burkert, Raven P
Burkert, Raven P is an individual health care provider with primary practice located at 679 E County Line Rd , Greenwood IN 46143-1049. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burkert, Raven P can be contacted via phone (317) 859-7222.Contact Information
Primary practice address
679 E County Line Rd
Greenwood IN 46143-1049
Phone: (317) 859-7222
Fax: (317) 859-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 28195639A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71009712A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71009712A | Indiana |
Profile Details
| NPI number | 1215491261 |
|---|---|
| LBN Legal business name | Burkert, Raven P |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2019 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215491261 | NPPES |
| Indiana | Other | 28195639A | INDIANA STATE BOARD OF NURSING |
| Indiana | Other | 1487680518 | INDIANA STATE BOARD OF NURSING |
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