Provider Demographics
NPI:1124777644
Name:NEFF, SHELBY SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:SUE
Last Name:NEFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:SUE
Other - Last Name:BIEDERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2526 NEWTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NY
Mailing Address - Zip Code:13346-2352
Mailing Address - Country:US
Mailing Address - Phone:315-750-6926
Mailing Address - Fax:
Practice Address - Street 1:1407 VROLYK RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:NY
Practice Address - Zip Code:13334-3209
Practice Address - Country:US
Practice Address - Phone:315-837-4312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY722671163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse