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1437192143

NPI Code Detail

MEDICARE: ELIZABETH NEUHALFEN MD

MEDICARE: ELIZABETH NEUHALFEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00035122	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0184285	OTHER	WA	L & I PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	98328A003	OTHER	WA	TRICARE PROVIDER NUMBER
4	NE1084	OTHER	WA	REGENCE RIDER NUMBER
5	5350520	OTHER	WA	AETNA PROVIDER NUMBER
6	911203494BK	OTHER	WA	KPS PROVIDER NUMBER

General Provider Information

NPI Number	:	1437192143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH NEUHALFEN MD

Provider Business Mailing Address
First Line	:	1007 39TH AVE SE
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98374-2192
Country	:	US
Telephone Number	:	253-445-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 39TH AVE SE
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98374-2192
Country	:	US
Telephone Number	:	253-445-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	04/27/2021

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Directions to “ ELIZABETH NEUHALFEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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