Individual
DEENNA NEALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 CORPORATE DRIVE, SUITE 110, FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC, TRUMBULL, CT 06611-1376
(203) 445-9060
(203) 445-9093
Mailing address
2 CORPORATE DRIVE, SUITE 110, FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC, TRUMBULL, CT 06611-1376
(203) 445-9060
(203) 445-9093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
001767
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042048800
—
CT
01
—
D400089302
MEDICARE PTAN
CT
Enumeration date
07/29/2006
Last updated
12/17/2013
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