Healthcare Provider Details

I. General information

NPI: 1255109146
Provider Name (Legal Business Name): ANDREA TRINDADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HOSPITAL PLZ STE 601
STAMFORD CT
06902-3602
US

IV. Provider business mailing address

29 HOSPITAL PLZ STE 601
STAMFORD CT
06902-3602
US

V. Phone/Fax

Practice location:
  • Phone: 203-276-2451
  • Fax:
Mailing address:
  • Phone: 203-276-2451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF354812-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number728084
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17226
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: