Provider Demographics
NPI:1437571262
Name:WOOLDRIDGE, JAMES WALTER III (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WALTER
Last Name:WOOLDRIDGE
Suffix:III
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:8700 STONY POINT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1968
Mailing Address - Country:US
Mailing Address - Phone:804-775-4500
Mailing Address - Fax:804-545-7058
Practice Address - Street 1:8700 STONY POINT PKWY STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1968
Practice Address - Country:US
Practice Address - Phone:804-775-4500
Practice Address - Fax:804-545-7058
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2023-11-06
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Provider Licenses
StateLicense IDTaxonomies
VA0001217479367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered