Nealon, Deenna

Nealon, Deenna is an individual health care provider with primary practice located at 2 Corporate Drive, Suite 110 Fairfield County Integrative Family Medicine, Llc, Trumbull CT 06611-1376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nealon, Deenna can be contacted via phone (203) 445-9060.

Contact Information

Primary practice address
2 Corporate Drive, Suite 110 Fairfield County Integrative Family Medicine, Llc Trumbull CT 06611-1376
Phone: (203) 445-9060
Fax: (203) 445-9093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 001767 Connecticut

Profile Details

NPI number 1609880905
LBN Legal business name Nealon, Deenna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Dec 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609880905 NPPES
Connecticut Other D400089302 MEDICARE PTAN
Connecticut MEDICAID 0042048800 MEDICARE PTAN

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