Individual
MALLORY A. BURLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(225) 526-1971
Mailing address
2507 KENSINGTON DR, BATON ROUGE, LA 70809-1215
(225) 526-1971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154403
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
245097
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2025
Last updated
04/20/2026
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