Dilliner, Tracie L.

Dilliner, Tracie L. is an individual health care provider with primary practice located at 604 Ann St , Parkersburg WV 26101-5122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dilliner, Tracie L. can be contacted via phone (304) 485-3300.

Contact Information

Primary practice address
604 Ann St Parkersburg WV 26101-5122
Phone: (304) 485-3300
Fax: (304) 485-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 45818 West Virginia

Profile Details

NPI number 1699778183
LBN Legal business name Dilliner, Tracie L.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jun 18th, 2024 - about last year

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 1699778183 NPPES
Ohio MEDICAID 2198330
Ohio MEDICAID 7101006000

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