Provider Demographics
NPI:1992969141
Name:BURKART, NORA ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ELIZABETH
Last Name:BURKART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:ELIZABETH
Other - Last Name:BRICENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7373 FRANCE AVENUE S
Mailing Address - Street 2:SUITE 510
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4551
Mailing Address - Country:US
Mailing Address - Phone:612-562-8630
Mailing Address - Fax:
Practice Address - Street 1:7373 FRANCE AVE S STE 510
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4551
Practice Address - Country:US
Practice Address - Phone:612-562-8630
Practice Address - Fax:952-830-0091
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN53686208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery