Individual
CHERYL BURCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3037 CORDER DR, CORINTH, MS 38834-6216
(662) 643-7107
Mailing address
3037 CORDER DR, CORINTH, MS 38834-6216
(662) 643-7107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R575151
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122072
—
MS
Enumeration date
08/31/2006
Last updated
04/18/2024
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