Provider Demographics
NPI:1629322946
Name:NEUFELD, MARIBEL GUADALUPE (RN)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:GUADALUPE
Last Name:NEUFELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 S COPPER KEY CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7425
Mailing Address - Country:US
Mailing Address - Phone:480-892-6908
Mailing Address - Fax:480-813-8240
Practice Address - Street 1:807 S COPPER KEY CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7425
Practice Address - Country:US
Practice Address - Phone:480-892-6908
Practice Address - Fax:480-813-8240
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN151246163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool