Individual
TRUDY DILEO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R25107
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14486
—
NM
05
—
24201570
—
CO
05
—
395922
—
AZ
05
—
94359
—
NM
01
—
961310
PRONET / AETNA
NM
01
—
NM006210
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/02/2005
Last updated
07/09/2007
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