Healthcare Provider Details

I. General information

NPI: 1659275295
Provider Name (Legal Business Name): MARY NEFF RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 N FERDINAND ST
TACOMA WA
98407-4501
US

IV. Provider business mailing address

4805 N FERDINAND ST
TACOMA WA
98407-4501
US

V. Phone/Fax

Practice location:
  • Phone: 425-507-5320
  • Fax:
Mailing address:
  • Phone: 425-507-5320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364ST0500X
TaxonomyTransplantation Clinical Nurse Specialist
License NumberRN60284095
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: