Provider Demographics
NPI:1497854731
Name:NEFF, ELLEN FAY (APRN)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:FAY
Last Name:NEFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 FOULK RD
Mailing Address - Street 2:STE 1A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3733
Mailing Address - Country:US
Mailing Address - Phone:610-869-3620
Mailing Address - Fax:
Practice Address - Street 1:701 FOULK RD STE 1A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3733
Practice Address - Country:US
Practice Address - Phone:302-731-0001
Practice Address - Fax:302-731-0040
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-00001265363LA2200X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG09367Medicare UPIN
075600Medicare ID - Type Unspecified