Individual
COLLEEN ELIZABETH WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
758039
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075761
NEBRASKA AANA CARD
NE
05
—
167614002
—
TX
05
—
192583602
—
TX
01
—
60222
NEBRASKA STATE LICENSE
NE
01
—
85202U
BLUE CROSS BLUE SHIELD
TX
01
—
8815UG
BCBS
TX
01
—
P01446900
RR
TX
Enumeration date
08/31/2006
Last updated
05/20/2020
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