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Individual

MS. HEATHER BURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6815 NOBLE AVE STE 400, VAN NUYS, CA 91405-6516
(818) 901-6690
(818) 901-6699
Mailing address
3968 FELTON HILL RD SW, STE 100, SMYRNA, GA 30082-3522
(770) 333-7888
(770) 333-7889

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3162
CA
207L00000X
Anesthesiology Physician
NA07270
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2380927
OH
Enumeration date
06/06/2006
Last updated
10/01/2020
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