Most Relevant Information
Provider Data
| NPI Number: | 1003019951 |
| Provider Name: | CAROL PATRICIA BURKE CRNP LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | U01487 |
Most Important Dates
| Enumeration Date: | 06/07/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
645 RIDGELY AVENUE
FULL CIRCLE HEALING ARTS
ANNAPOLIS
MD
21401
Practice Location Phone/Fax
| Phone: | 4102669370 |
| Fax: | 4102663902 |
Provider Mailing Location
1733 DREVAR TRAIL
ANNAPOLIS
MD
21401
Provider Mailing Phone/Fax
| Phone: | 4108493456 |
| Fax: |