Individual
TRACIE L. DILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
604 ANN ST, PARKERSBURG, WV 26101-5122
(304) 485-3300
(304) 485-3616
Mailing address
604 ANN ST, PARKERSBURG, WV 26101-5122
(304) 485-3300
(304) 485-3616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45818
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2198330
—
OH
05
—
7101006000
—
WV
Enumeration date
05/27/2005
Last updated
06/18/2024
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