PAMELA J GLINES


Address: 21 Grand St, Hartford, CT 06106-1541
Phone: 8605507500

PAMELA J GLINES (NPI# 1619055688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619055688
Entity Type Individual
Full Name PAMELA J GLINES
Credential APRN
Practice Address 21 Grand St
Hartford
CT 06106-1541
Practice Telephone 8605507500
Practice Fax Number 8605489842
Mailing Telephone 8605507500
Mailing Fax Number 8605489842
Enumeration Date 2006-11-01
Last Update Date 2017-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family 		003343 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 4258663 05

Office Location

Street Address 21 GRAND ST
City HARTFORD
State CT
Zip Code 06106-1541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558364653 Jennifer A Colucci Nurse Practitioner 21 Grand St, Hartford, CT 06106-1541 2005-05-23
1518583780 Ludwig V Rosiclair Pharmacist 21 Grand St, Hartford, CT 06106-1541 2020-06-23
1235752866 Philip Jacob Bergen Jr. Physician Assistant 21 Grand St, Hartford, CT 06106-1541 2020-05-18
1982243580 Melissa Richardson Nurse Practitioner 21 Grand St, Hartford, CT 06106-1541 2019-12-30
1841838596 Kristal Velazquez Midwife 21 Grand St, Hartford, CT 06106-1541 2019-12-12
1346888237 Jillian Smith Advanced Practice Midwife 21 Grand St, Hartford, CT 06106-1541 2019-12-11
1467002634 Stephanie Marie Watson Physician Assistant 21 Grand St, Hartford, CT 06106-1541 2019-09-18
1598311763 Joeli Mcquaid-robert Social Worker 21 Grand St, Hartford, CT 06106-1541 2019-08-14
1487207718 Andrea Fachini Physician Assistant 21 Grand St, Hartford, CT 06106-1541 2019-07-16
1831758366 Kelly Ruiz Physician Assistant 21 Grand St, Hartford, CT 06106-1541 2019-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396352589 Jeffrey Kiser Nurse Practitioner 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 2020-09-30
1134686777 Familycareofhartford Corp Nurse Practitioner 556 Zion St, Hartford, CT 06106-2348 2019-03-01
1649788035 Brian Keith Talbert Nurse Practitioner 238 Moore St, Hartford, WV 25247-1823 2018-01-19
1841735818 Katie Strahowski Nurse Practitioner 85 Gillett Street, Clean Slate, Hartford, CT 06105 2016-12-30
1881140713 Allison Forehand Locke Nurse Practitioner 169 N 2nd Ave, Hartford, AL 36344-1219 2016-08-31
1649641150 Fredo J Clermont Nurse Practitioner 114 Woodland St Fl 7, Hartford, CT 06105 2015-10-09
1194191973 Esther Wint Nurse Practitioner 490 Blue Ave, Hartford, CT 06112 2015-08-17
1497173462 Nydia Gonzalez Nurse Practitioner 470 Maple Ave, Hartford, CT 06114-1215 2014-04-06
1518383728 Anna L Waldner Nurse Practitioner 402 Emma Dr, Hartford, SD 57033-2061 2014-03-12
1982020350 Tracey Marie Allen Nurse Practitioner 282 Washington St Ste D, Hartford, CT 06106-3322 2014-03-10
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Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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