Provider Demographics
NPI:1437285418
Name:NEFF, SUSAN MARIE (RN, MS, CS)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:MARIE
Last Name:NEFF
Suffix:
Gender:F
Credentials:RN, MS, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 GAMMON PL
Mailing Address - Street 2:SUITE 290
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1045
Mailing Address - Country:US
Mailing Address - Phone:608-833-9770
Mailing Address - Fax:608-833-1197
Practice Address - Street 1:402 GAMMON PL
Practice Address - Street 2:SUITE 290
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1045
Practice Address - Country:US
Practice Address - Phone:608-833-9770
Practice Address - Fax:608-833-1197
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69996-030163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult