Doctor Name: | STEFANIE MARIE NEEL |
NPI Number: | 1114207065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110003654 |
Business Practice Address: | 2617 Sheffield Dr Blacksburg, VA - 240608271 |
Business Phone Number: | 5409532210 |
Business Fax Number: | 5409519112 |
Mailing Address: | 2617 Sheffield Dr, BLACKSBURG |
State: | VA |
Postal Code: | 240608271 |
Phone Number: | 5409532210 |
Fax Number: | 5409519112 |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 10/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110003654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |