Individual
AILEEN T VONDERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, NC-BC
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 698-2500
Mailing address
4524 PERSHING AVE, FORT WORTH, TX 76107-4246
(407) 276-0826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1008670
TX
163WX0003X
Inpatient Obstetric Registered Nurse
1008670
TX
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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