Provider Demographics
NPI:1265550842
Name:DEDMAN, BARBARA (APRN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:DEDMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6881
Mailing Address - Country:US
Mailing Address - Phone:203-238-2936
Mailing Address - Fax:
Practice Address - Street 1:DAVISON HEALTH CENTER 327 HIGH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06459-0001
Practice Address - Country:US
Practice Address - Phone:860-685-2470
Practice Address - Fax:860-685-2471
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002623363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner