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Search › Connecticut › 104100000X

Debra Sidewater, R.D.,M.S.W

NPI 1174621064 · on the registry since 2006

Practice

Address
555 Willard Ave
Nutrition Clinic, Second Floor
Newington, CT 06111
Phone
(860) 667-6797
Organisation at this address
West Haven Vamc
West Haven Vamc
Veterans Administration
Department Of Veteran Affairs
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
157

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
133V00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut