Provider Demographics
NPI:1336585173
Name:NEU, LOVIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:LOVIE
Middle Name:
Last Name:NEU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3379 PEACHTREE RD NE
Mailing Address - Street 2:STE 555
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1031
Mailing Address - Country:US
Mailing Address - Phone:404-682-0767
Mailing Address - Fax:404-682-0766
Practice Address - Street 1:3379 PEACHTREE RD NE
Practice Address - Street 2:STE 555
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1031
Practice Address - Country:US
Practice Address - Phone:404-682-0767
Practice Address - Fax:404-682-0766
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN215180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily