Provider Demographics
NPI:1326577065
Name:O'NEIL, ASHLEY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:WILBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41680 MISS BESSIE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2965
Mailing Address - Country:US
Mailing Address - Phone:301-997-0055
Mailing Address - Fax:301-997-0066
Practice Address - Street 1:41680 MISS BESSIE DR STE 301
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2965
Practice Address - Country:US
Practice Address - Phone:301-997-0055
Practice Address - Fax:301-997-0066
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204929163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse