Healthcare Provider Details

I. General information

NPI: 1821886383
Provider Name (Legal Business Name): KARINA RODRIGUES NEVES ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARINA RODRIGUES PITA

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

371 ALDEN AVE APT 12B
NEW HAVEN CT
06515-2146
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-9859
  • Fax: 203-739-9859
Mailing address:
  • Phone: 203-739-9859
  • Fax: 203-739-9859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number126205
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number15255
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: