Individual
MS. ANN LESLYE BURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
643 GLENDALYN AVE, SPARTANBURG, SC 29302-2078
(828) 333-0065
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1028206
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007680
—
AL
Enumeration date
01/18/2006
Last updated
04/24/2012
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