Provider Demographics
NPI:1346799459
Name:NEYLAND, ANAVERNYEL (NP)
Entity Type:Individual
Prefix:
First Name:ANAVERNYEL
Middle Name:
Last Name:NEYLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 EMERALD ST STE U
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3660
Mailing Address - Country:US
Mailing Address - Phone:603-439-4084
Mailing Address - Fax:
Practice Address - Street 1:149 EMERALD ST STE U
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3660
Practice Address - Country:US
Practice Address - Phone:603-439-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09050363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care