JENNY IDICULA

AUSTIN, TX
NPI1083291637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1052820)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  860986)
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA253034)
Enumeration Date2021-03-28
Last Update Date2026-02-26
Business Address
JENNY IDICULA
3705 MEDICAL PKWY STE 570
AUSTIN, TX 78705-1024
Phone number: 512-454-2554
Mailing Address
JENNY IDICULA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999