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Contact Information

LISA M NEUENFELDT, APRN
2100 STATE AVE
PANAMA CITY, FL32405-4587
 Phone: 850-763-0036
 Fax: 850-763-0259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Oncology

364SX0200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for LISA M NEUENFELDT · (Female)

NPI Number 1619290673
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 03/04/2010
Last updated 02/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN9185753
  • FL License # ARNP9185753
  • FL Medicaid 003619000
Hospital affiliation(s)
  • BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM - (Acute Care)
    615 N BONITA AVE
    PANAMA CITY, FL 32401
  • GULF COAST MEDICAL CENTER - (Acute Care)
    449 W 23RD ST
    PANAMA CITY, FL 32405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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