Individual
STEPHANIE A. BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3791
Mailing address
PO BOX 29, ASHLAND, KY 41105-0029
(877) 416-4452
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
525A
KY
Other
Enumeration date
10/10/2006
Last updated
06/30/2009
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