Provider Demographics
NPI:1285517912
Name:BURKS, MARGARITA SHENEE
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:SHENEE
Last Name:BURKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4394 W EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-2443
Mailing Address - Country:US
Mailing Address - Phone:313-859-3280
Mailing Address - Fax:
Practice Address - Street 1:4394 W EUCLID ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-2443
Practice Address - Country:US
Practice Address - Phone:313-859-3280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MI2025-V1406374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula