Provider Demographics
NPI:1619400223
Name:ALDRIDGE, DAYLE (RN, CDE, MPH)
Entity Type:Individual
Prefix:MRS
First Name:DAYLE
Middle Name:
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:RN, CDE, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 ALTON PKWY
Mailing Address - Street 2:HEALTH EDUCATION DEPARTMENT, 5TH FLOOR, MOB#2
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3734
Mailing Address - Country:US
Mailing Address - Phone:949-932-2572
Mailing Address - Fax:
Practice Address - Street 1:6650 ALTON PKWY
Practice Address - Street 2:HEALTH EDUCATION DEPARTMENT, 5TH FLOOR, MOB#2
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3734
Practice Address - Country:US
Practice Address - Phone:949-932-2572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN359023163WD0400X
CA0961-0009163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator