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Individual

MS. VICTORIA H BURSLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN127607
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000288
LICENSED NURSE MIDWIFE
CT
05
000696484E
GA
01
077450
REGISTERED NURSE
CT
Enumeration date
07/15/2006
Last updated
10/27/2011
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