Individual
MICAH MICHELLE VEITENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 WINDJAMMER WAY, WICHITA FALLS, TX 76308-5825
(940) 867-1984
Mailing address
311 WINDJAMMER WAY, WICHITA FALLS, TX 76308-5825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
797313
TX
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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