Doctor Name: | DENISE NEAWEDDE |
NPI Number: | 1093186751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 28167067A |
Business Practice Address: | 411 W Tipton St Seymour, IN - 472742363 |
Business Phone Number: | 8125222349 |
Business Fax Number: | |
Mailing Address: | 1030 Governors Ln, SEYMOUR |
State: | IN |
Postal Code: | 472741135 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28167067A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |