Provider Demographics
NPI:1457592164
Name:ALMEIDA-MCGLOTTEN, DINA DEBARROS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:DEBARROS
Last Name:ALMEIDA-MCGLOTTEN
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 1:197 WOODBERRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-1851
Mailing Address - Country:US
Mailing Address - Phone:860-426-2138
Mailing Address - Fax:
Practice Address - Street 1:197 WOODBERRY HILL DR
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-1851
Practice Address - Country:US
Practice Address - Phone:860-426-2138
Practice Address - Fax:860-426-2138
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003098363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health