Provider Demographics
NPI:1942465000
Name:NEU, ELLEN LOUISA (DNP, ARNP, ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:LOUISA
Last Name:NEU
Suffix:
Gender:F
Credentials:DNP, ARNP, ANP-BC
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:LOUISA
Other - Last Name:NEU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:1834 VIA SOFIA
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8260
Mailing Address - Country:US
Mailing Address - Phone:410-493-9406
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PKWY
Practice Address - Street 2:WAYSON PAVILLION SUITE 150
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7992
Practice Address - Country:US
Practice Address - Phone:443-481-1199
Practice Address - Fax:443-481-1495
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR121142363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
60833507OtherBCBS MARYLAND
60833506OtherBCBS MD
N4350002OtherBCBS DC
137320Y5ZMedicare PIN