Provider Demographics
NPI:1215336979
Name:BUERKLE, PATRICIA ANNE (NP CLINICAL NURSE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:BUERKLE
Suffix:
Gender:F
Credentials:NP CLINICAL NURSE
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Other - First Name:
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Mailing Address - Street 1:100 CENTER DRIVE
Mailing Address - Street 2:SCCF JAIL MEDICAL
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11971
Mailing Address - Country:US
Mailing Address - Phone:631-852-2976
Mailing Address - Fax:631-852-3966
Practice Address - Street 1:100 CENTER DRIVE
Practice Address - Street 2:SCCF JAIL MEDICAL
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11971
Practice Address - Country:US
Practice Address - Phone:631-852-2976
Practice Address - Fax:631-852-3966
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF301585364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health