Provider Demographics
NPI:1346611902
Name:NEUFELD, AUNDREA
Entity Type:Individual
Prefix:
First Name:AUNDREA
Middle Name:
Last Name:NEUFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 LORECO ST
Mailing Address - Street 2:APT 1507
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-2358
Mailing Address - Country:US
Mailing Address - Phone:505-225-9886
Mailing Address - Fax:318-226-5994
Practice Address - Street 1:2201 LORECO ST
Practice Address - Street 2:APT 1507
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-2358
Practice Address - Country:US
Practice Address - Phone:505-225-9886
Practice Address - Fax:318-226-5994
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist