Provider Demographics
NPI:1972583482
Name:BURKE, SANDRA MICHELLE (RNFA)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MICHELLE
Last Name:BURKE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14114 MARY SUE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2371
Mailing Address - Country:US
Mailing Address - Phone:281-392-6797
Mailing Address - Fax:281-392-3666
Practice Address - Street 1:5618 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6308
Practice Address - Country:US
Practice Address - Phone:281-392-6797
Practice Address - Fax:281-392-3666
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX545490163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic