Provider Demographics
NPI:1821283961
Name:ABBATE, DARLENE FLORENCE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:FLORENCE
Last Name:ABBATE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:DARLENE
Other - Middle Name:FLORENCE
Other - Last Name:ABBATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:35 RUDNANSKY LN
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2291
Mailing Address - Country:US
Mailing Address - Phone:860-871-7639
Mailing Address - Fax:
Practice Address - Street 1:76 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3305
Practice Address - Country:US
Practice Address - Phone:860-545-9300
Practice Address - Fax:860-837-6801
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001578363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1821283961Medicaid