Individual
EMILY WUNDERLICK WITTENBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNPA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103238
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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