Individual
JULIA ALLDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4941
(817) 702-3431
Mailing address
8813 HERMAN ST, WHITE SETTLEMENT, TX 76108-1206
(817) 944-0958
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1135577
TX
390200000X
Student in an Organized Health Care Education/Training Program
856736
TX
Other
Enumeration date
07/17/2023
Last updated
09/28/2023
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