Provider Demographics
NPI:1528359742
Name:DALIDA, IRENA (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:IRENA
Middle Name:
Last Name:DALIDA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CATALINA DR
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1706
Mailing Address - Country:US
Mailing Address - Phone:908-883-0812
Mailing Address - Fax:908-526-0678
Practice Address - Street 1:10 CATALINA DR
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-1706
Practice Address - Country:US
Practice Address - Phone:908-526-0678
Practice Address - Fax:908-526-0678
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09983400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant