Individual
ALLISON NICOLE DEBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP114729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874896
RN COMPACT LICENSE
TX
Enumeration date
12/11/2019
Last updated
07/14/2021
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