Individual
KATHERINE A TILDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019008
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359972
NCBON
NC
Enumeration date
07/20/2018
Last updated
11/22/2023
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