Provider Demographics
NPI:1538358916
Name:BURKHALTER, CLAUDIA LYN (FNP)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:LYN
Last Name:BURKHALTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-0070
Mailing Address - Country:US
Mailing Address - Phone:704-838-7080
Mailing Address - Fax:704-838-7463
Practice Address - Street 1:1424 FERN CREEK DR STE D
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-9376
Practice Address - Country:US
Practice Address - Phone:704-838-7080
Practice Address - Fax:704-838-7463
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily