Provider Demographics
NPI:1568814648
Name:NEIHOFF, MARIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:NEIHOFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:DI LORETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 306556
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6556
Mailing Address - Country:US
Mailing Address - Phone:615-329-2294
Mailing Address - Fax:615-695-1494
Practice Address - Street 1:501 SAUNDERSVILLE RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1588
Practice Address - Country:US
Practice Address - Phone:615-265-5000
Practice Address - Fax:615-265-5005
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3635363A00000X, 363AM0700X
FLPA9109502363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIT479WMedicare PIN