Individual
TRICIA DANIELLE DILDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212707
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
080512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19008
APRN LICENSE
SC
01
—
80512
AANA - SC NURSING LICENSE
SC
05
—
8053506
—
NC
05
—
AN2398
—
SC
01
—
P00754275
RAILROAD MEDICARE
NC
Enumeration date
08/26/2008
Last updated
10/28/2020
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