Provider Demographics
NPI:1477283737
Name:MCNEIL, REBECCA C (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:C
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:C
Other - Last Name:MCFADDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5866 HEATHER GLEN CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-3292
Mailing Address - Country:US
Mailing Address - Phone:161-440-6228
Mailing Address - Fax:
Practice Address - Street 1:4750 BIG RUN SOUTH RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9692
Practice Address - Country:US
Practice Address - Phone:614-406-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.289834163WC0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.289834OtherOHIO BOARD OF NURSING