DEENNA NEALON APRN NPI 1609880905

NPI Information

  • NPI: 1609880905
  • Provider Name: DEENNA NEALON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 CORPORATE DRIVE, SUITE 110
    FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
    TRUMBULL, CT
    ZIP 06611
  • Phone: (203) 445-9060

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NPI Details

Deenna Nealon, APRN is a family nurse practitioner in Trumbull, CT with 35 years of experience. Deenna Nealon, APRN NPI is 1609880905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 CORPORATE DRIVE, SUITE 110
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
TRUMBULL, CT
ZIP 06611-376
Phone: (203) 445-9060
Fax: (203) 445-9093

The NPI 1609880905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 12/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily001767CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10042048800MEDICAIDCONNECTICUT
2D400089302OTHERCONNECTICUTMEDICARE PTAN
3500001188MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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