Individual
ALEXANDRIA MICHELLE HAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3008 WATERFALL DR, FORT WORTH, TX 76177-2600
(817) 946-5934
Mailing address
3008 WATERFALL DR, FORT WORTH, TX 76177-2600
(817) 946-5934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1003907
TX
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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