Individual
JOANNE L TRIDICO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Mailing address
6 COOK ST, NORTH WARREN, PA 16365-1208
(814) 723-2075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN124942L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601786
HIGHMARK
PA
Enumeration date
01/19/2006
Last updated
07/08/2007
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