Neff, Mariruth
Neff, Mariruth is an individual health care provider with primary practice located at 2793 Lineville Rd , Green Bay WI 54313-7152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Neff, Mariruth can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
2793 Lineville Rd
Green Bay WI 54313-7152
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3254-33 | Wisconsin |
Profile Details
| NPI number | 1013197979 |
|---|---|
| LBN Legal business name | Neff, Mariruth |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2007 |
| Last updated | Oct 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013197979 | NPPES |
| Wisconsin | Other | 1467583278 | OMC NPI |
| Wisconsin | Other | 390848401050 | OMC NPI |
| Wisconsin | MEDICAID | 11014110 | OMC NPI |
| Wisconsin | Other | 101863-030 | OMC NPI |
| Wisconsin | Other | 1851477913 | OMC NPI |
| Wisconsin | MEDICAID | 36053600 | OMC NPI |
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