Provider Demographics
NPI:1528660677
Name:NEFF, CHRISTINE ANN
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:NEFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 HAMLIN DR
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-7445
Mailing Address - Country:US
Mailing Address - Phone:440-997-3530
Mailing Address - Fax:
Practice Address - Street 1:5308 SAMUEL AVE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6630
Practice Address - Country:US
Practice Address - Phone:440-992-9427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH275872Medicaid