Provider Demographics
NPI:1609671270
Name:BURDICK, ZOE LEIGH (CD)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:LEIGH
Last Name:BURDICK
Suffix:
Gender:
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 OLD COMMON RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-3209
Mailing Address - Country:US
Mailing Address - Phone:317-205-4964
Mailing Address - Fax:
Practice Address - Street 1:66 OLD COMMON RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-3209
Practice Address - Country:US
Practice Address - Phone:317-205-4964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula