Active NPIIndividual providerSole proprietor

Ms. Diane P Annibalini, PA-C

Physician Assistant in Tolland, Connecticut

NPI Number1184956690
Practice location
384 Merrow RD Ste K, Tolland, CT 06084-3970
Fax
860-871-8852
Last updated
March 17, 2018

Diane Packard Annibalini is a Physician Assistant based in Tolland, CT. Diane Packard Annibalini practices in Tolland, CT and has the professional credentials of PA-C. The NPI Number for Diane Packard Annibalini is 1184956690 and holds a License No. 002348 (CT). The current practice location address for Diane Packard Annibalini is 384 Merrow RD Ste K, Tolland, CT 06084-3970 and can be reached out via phone at 860-871-8851 and via fax at 860-871-8852.

Provider Profile Details

NPI Number
1184956690
Provider Name
Diane Packard Annibalini
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
384 Merrow RD Ste K, Tolland, CT 06084-3970
Phone Number
860-871-8851
Fax Number
860-871-8852
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 8, 2010
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
384 Merrow RD Ste K
Tolland, CT 06084-3970
Zip
06084-3970
Phone Number
860-871-8851
Fax Number
860-871-8852
Tolland, CT 06084Get directions →

Provider Business Mailing Address Details

Address
O6 Saint Marc Cir
South Windsor, CT 06074-4141
City
South Windsor
State
CT
Zip
06074-4141
Phone Number
860-682-3950

License Information

License Number (1)
002348
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
2348
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Diane P Annibalini, PA-C?

The NPI number of Ms. Diane P Annibalini, PA-C is 1184956690. It was assigned on February 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Diane P Annibalini, PA-C?

Ms. Diane P Annibalini, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002348.

Where does Ms. Diane P Annibalini, PA-C practice?

The practice location is 384 Merrow RD Ste K, Tolland, CT 06084-3970. The office can be reached at 860-871-8851 (phone) or 860-871-8852 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184956690 directly on the NPPES registry website.

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