Provider Demographics
NPI:1073397592
Name:MCNEIL, THOMAS CHRISTOPHER (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:CHRISTOPHER
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S MARYLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-7206
Mailing Address - Country:US
Mailing Address - Phone:702-773-9800
Mailing Address - Fax:
Practice Address - Street 1:401 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-7206
Practice Address - Country:US
Practice Address - Phone:702-733-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV845496363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health