Individual
SAMUEL O BURT
Active
Individual
SAMUEL O BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190708
VA
367500000X
Certified Registered Nurse Anesthetist
076895-21
NH
367500000X
Certified Registered Nurse Anesthetist
240773
AZ
Other
Enumeration date
12/06/2017
Last updated
04/25/2025
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