Individual
ANITA BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N COLLEGE AVE, EL DORADO, AR 71730-3711
(870) 881-8008
Mailing address
1000 N COLLEGE AVE, EL DORADO, AR 71730-3711
(870) 904-0241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001069
AR
Other
Enumeration date
01/31/2017
Last updated
10/07/2020
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