| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY ERIN BURMEISTER | 1104557404 | 2022-06-19 |
Kelly Erin Burmeister is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104557404. Registration indicates Kelly Erin Burmeister is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Kelly Erin Burmeister CAA |
| Practice Office Address | 600 HIGHLAND AVE MADISON, WI US |
| Practice Office Telephone | 6082638100 |
| Practice Office Fax | 6082626247 |
| Mailing Address | 7974 UW HEALTH CT MIDDLETON, WI 535625531 US |
| Code | Practice | License No State |
|---|---|---|
| 367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers | 501-17
WI |