Dildy, Tricia Danielle

Dildy, Tricia Danielle is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Dildy, Tricia Danielle can be contacted via phone (910) 772-9202.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Phone: (910) 772-9202
Fax: (910) 772-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 212707 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 080512 North Carolina

Profile Details

NPI number 1912154568
LBN Legal business name Dildy, Tricia Danielle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912154568 NPPES
South Carolina Other 80512 AANA - SC NURSING LICENSE
South Carolina MEDICAID 8053506 AANA - SC NURSING LICENSE
South Carolina Other 19008 AANA - SC NURSING LICENSE
South Carolina Other P00754275 AANA - SC NURSING LICENSE
South Carolina MEDICAID AN2398 AANA - SC NURSING LICENSE

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