Provider Demographics
NPI:1366877565
Name:NEUBAUER, JUDITH ADRIANNE (CRNP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ADRIANNE
Last Name:NEUBAUER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:100 W SPROUL RD STE 120
Mailing Address - Street 2:HEALTHPLEX PAVILLION II
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-338-1800
Mailing Address - Fax:610-338-1809
Practice Address - Street 1:100 W SPROUL RD STE 120
Practice Address - Street 2:HEALTHPLEX PAVILLION II
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2033
Practice Address - Country:US
Practice Address - Phone:610-338-1800
Practice Address - Fax:610-338-1809
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2014-06-30
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Provider Licenses
StateLicense IDTaxonomies
PASPO13020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner