Individual
MRS. LESLEY LATAISHA GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
161 VIRGINIA WAY, SEARCY, AR 72143-4962
(501) 368-0337
Mailing address
161 VIRGINIA WAY, SEARCY, AR 72143-4962
(501) 368-0337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CO1581 CRNA
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161320001
—
AR
01
—
5Y816
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/15/2006
Last updated
10/03/2008
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