Individual
TERRY DOUGLAS BUSENLEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 E 18TH ST, ANNISTON, AL 36207-3952
(256) 235-8900
(256) 236-2503
Mailing address
PO BOX 38, ANNISTON, AL 36202-0038
(256) 235-8900
(256) 236-2503
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-034644
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51511083
BCBS #
AL
Enumeration date
02/22/2006
Last updated
07/09/2007
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