Doctor Name: | TERI MARIE O'NEIL |
NPI Number: | 1528241585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,FNP |
License Number: | R150040 |
Business Practice Address: | 15 E Frederick St Walkersville, MD - 217938234 |
Business Phone Number: | 3018985200 |
Business Fax Number: | 3018985230 |
Mailing Address: | Po Box 310, 15 East Frederick WALKERSVILLE |
State: | MD |
Postal Code: | 217930310 |
Phone Number: | 3018985200 |
Fax Number: | 3018985230 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 03/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R150040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |