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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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