Provider Demographics
NPI:1194133645
Name:NEFF, DENISE M (NP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:NEFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:M
Other - Last Name:STOLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DENISE M SAINT
Mailing Address - Street 1:707 STATE ST STE 3C
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-1185
Mailing Address - Country:US
Mailing Address - Phone:812-629-1800
Mailing Address - Fax:
Practice Address - Street 1:707 STATE STREET
Practice Address - Street 2:SUITE 3C
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8947
Practice Address - Country:US
Practice Address - Phone:812-490-0301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005174A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner