Provider Demographics
NPI:1881401123
Name:NEIRINCK, MAURICE ANTHONY
Entity type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:ANTHONY
Last Name:NEIRINCK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28842 YELLOW FIN TRL
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-8599
Mailing Address - Country:US
Mailing Address - Phone:773-383-2458
Mailing Address - Fax:
Practice Address - Street 1:28842 YELLOW FIN TRL
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-8599
Practice Address - Country:US
Practice Address - Phone:773-383-2458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9353973163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse