Provider Demographics
NPI:1144464900
Name:BURKEY, DORIS FAYE (MSN, CFNP)
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:FAYE
Last Name:BURKEY
Suffix:
Gender:F
Credentials:MSN, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3774 VALLEY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BERKELEY SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:25411-4614
Mailing Address - Country:US
Mailing Address - Phone:304-258-9433
Mailing Address - Fax:304-258-6063
Practice Address - Street 1:3774 VALLEY RD STE 101
Practice Address - Street 2:
Practice Address - City:BERKELEY SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:25411-4614
Practice Address - Country:US
Practice Address - Phone:130-425-8943
Practice Address - Fax:304-258-6063
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR128855363LF0000X
WV40587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD211828OtherMEDICARE FQHC
MD013087700Medicaid
PA1007288800007Medicaid
WV0035061003Medicaid