Individual
PAMELA J GLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 548-9842
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 548-9842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003343
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4258663
—
CT
Enumeration date
11/01/2006
Last updated
03/30/2017
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