Provider Demographics
NPI:1598215477
Name:DEARING, ALBERTINA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:ALBERTINA
Middle Name:ELIZABETH
Last Name:DEARING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALBERTINA
Other - Middle Name:ELIZABETH
Other - Last Name:MINDICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:814 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3617
Mailing Address - Country:US
Mailing Address - Phone:845-596-6288
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical