Provider Demographics
NPI:1063788594
Name:BURKEY, MEGAN LORINE (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LORINE
Last Name:BURKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 E EDMUNDS ST
Mailing Address - Street 2:
Mailing Address - City:BRUSH
Mailing Address - State:CO
Mailing Address - Zip Code:80723-2530
Mailing Address - Country:US
Mailing Address - Phone:970-396-7718
Mailing Address - Fax:
Practice Address - Street 1:108 DELMAR ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4138
Practice Address - Country:US
Practice Address - Phone:970-526-6131
Practice Address - Fax:970-526-6133
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994781-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily