| Doctor Name: | MS. RENEE ANN MCNEILL |
| NPI Number: | 1528185923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., C.N.P. C.N.M. |
| License Number: | R-102053-9 |
| Business Practice Address: | 301 2nd St Ne New Prague, MN - 560711709 |
| Business Phone Number: | 9527584431 |
| Business Fax Number: | |
| Mailing Address: | 112 6th Ave E, SHAKOPEE |
| State: | MN |
| Postal Code: | 553792326 |
| Phone Number: | 9524453334 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R-102053-9 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |