| Doctor Name: | MRS. CAROL ANN MCNEIL |
| NPI Number: | 1215377304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 4704260678 |
| Business Practice Address: | 2800 Ore Valley Dr Hartland, MI - 483532810 |
| Business Phone Number: | 8107309979 |
| Business Fax Number: | 8102220526 |
| Mailing Address: | 2800 Ore Valley Dr, HARTLAND |
| State: | MI |
| Postal Code: | 483532810 |
| Phone Number: | 8107309979 |
| Fax Number: | 8102220526 |
| NPI Enumeration Date: | 07/03/2013 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 4704260678 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |