Provider Demographics
NPI:1194500512
Name:BURKE, MEAGAN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-6532
Mailing Address - Country:US
Mailing Address - Phone:281-450-1157
Mailing Address - Fax:
Practice Address - Street 1:5043 NORRE GADE STE 2
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-6834
Practice Address - Country:US
Practice Address - Phone:340-201-1195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach