Provider Demographics
NPI:1720394604
Name:DALMEIDA, RUFINA (RN)
Entity Type:Individual
Prefix:
First Name:RUFINA
Middle Name:
Last Name:DALMEIDA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 83RD AVE NE APT 301
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-1888
Mailing Address - Country:US
Mailing Address - Phone:763-443-0640
Mailing Address - Fax:
Practice Address - Street 1:121 83RD AVE NE APT 2301
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-1859
Practice Address - Country:US
Practice Address - Phone:763-443-0640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2466506163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN348032OtherCLASS A PROFESSIONAL HOME HEALTH CARE AGENCY