MS. CATHERINE LEE BURKDOLL


Address: 18360 Santa Fe Ave, San Bernardino, CA 92407-1346
Phone: 9098873103

MS. CATHERINE LEE BURKDOLL (NPI# 1922294024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922294024
Entity Type Individual
Full Name MS. CATHERINE LEE BURKDOLL
Credential RN
Practice Address 18360 Santa Fe Ave
San Bernardino
CA 92407-1346
Practice Telephone 9098873103
Mailing Telephone 9098873103
Enumeration Date 2007-09-21
Last Update Date 2007-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WE0003X Registered Nurse
Specialization: Emergency
208235 CA Nursing Service Providers

Office Location

Street Address 18360 SANTA FE AVE
City SAN BERNARDINO
State CA
Zip Code 92407-1346

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Taxonomy Information

Taxonomy Code 163WE0003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Emergency

Taxonomy Definition

Definition to come...

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Competitor

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City SAN BERNARDINO
Zip Code 92407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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