Individual
KATHRYN ALICIA WALULIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(800) 243-3839
Mailing address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0172267
CO
Other
Enumeration date
07/12/2013
Last updated
05/04/2016
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