Provider Demographics
NPI:1780383406
Name:NEFF, SYDNEY (FNP-BC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:NEFF
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 WHEYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-5236
Mailing Address - Country:US
Mailing Address - Phone:703-795-4459
Mailing Address - Fax:
Practice Address - Street 1:112 PLEASANT ST SW
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-5609
Practice Address - Country:US
Practice Address - Phone:703-255-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186475363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner