Makeda Burr
Licensed Practical Nurse in Newark, NJ. Individual provider (NPI-1).
NPI number1013278076
StatusActive
Last updated in NPPESJun 6, 2012
Details
- NPI
- 1013278076
- Entity type
- Individual (NPI-1)
- Name
- Makeda Burr
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2012
- Last updated
- Jun 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP05584300 | NJ | Yes |
Practice location
183 S Orange AveNewark, NJ 07103-2757
Phone 800-969-5300
Mailing address
671 Hoes Ln WPiscataway, NJ 08854-8021
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