Provider Demographics
NPI:1467145185
Name:NEUFELD, CATHERINE NICOLE (NP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NICOLE
Last Name:NEUFELD
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 1:7930 MARSHALL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1562
Mailing Address - Country:US
Mailing Address - Phone:833-546-2814
Mailing Address - Fax:
Practice Address - Street 1:7930 MARSHALL DR STE 100
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66214-1562
Practice Address - Country:US
Practice Address - Phone:833-546-2814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82205-032363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology