Provider Demographics
NPI:1558651513
Name:MCNEIL, DINA ELAINE (MSN, ARNP, NP-C)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:ELAINE
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:MSN, ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2758 78TH AVE SE APT C312
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3598
Mailing Address - Country:US
Mailing Address - Phone:206-237-5315
Mailing Address - Fax:
Practice Address - Street 1:3035 ISLAND CREST WAY STE 110
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2919
Practice Address - Country:US
Practice Address - Phone:206-237-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60635951363LF0000X, 363LP0808X
FLARNP9263135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily