DR. LACEY ETIENNE NEUFELD


Address: Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667
Phone: 5306221441

DR. LACEY ETIENNE NEUFELD (NPI# 1053919258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053919258
Entity Type Individual
Full Name DR. LACEY ETIENNE NEUFELD
Credential DNP, FNP-BC
Practice Address Marshall Transitional Care Unit
1100 Marshall Way
Placerville
CA 95667
Mailing Address 12655 Barksdale Way
Rancho Cordova
CA 95742-7817
Practice Telephone 5306221441
Mailing Telephone 2097284334
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
2017241 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 1972503142 05

Office Location

Street Address MARSHALL TRANSITIONAL CARE UNIT
1100 MARSHALL WAY
City PLACERVILLE
State CA
Zip Code 95667

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City PLACERVILLE
Zip Code 95667

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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