Individual
ALEXANDER PHILIP TREIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Mailing address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
087605-23
NH
367500000X
Certified Registered Nurse Anesthetist
159739
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
291317
NC
Other
Enumeration date
04/11/2022
Last updated
07/30/2025
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