Provider Demographics
NPI:1275326019
Name:NEU, JANELLE M (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:M
Last Name:NEU
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:M
Other - Last Name:TEERLINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:163 S SR 112 HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84029-5585
Mailing Address - Country:US
Mailing Address - Phone:435-264-4164
Mailing Address - Fax:435-264-4264
Practice Address - Street 1:163 S SR 112 HWY STE 106
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84029-5585
Practice Address - Country:US
Practice Address - Phone:435-264-4164
Practice Address - Fax:435-264-4264
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9410310-8900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily