Provider Demographics
NPI:1558921452
Name:O'NEIL, MEGAN (ARNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:O'DONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:807 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-1132
Mailing Address - Country:US
Mailing Address - Phone:308-282-1442
Mailing Address - Fax:308-282-1428
Practice Address - Street 1:807 N ASH ST
Practice Address - Street 2:
Practice Address - City:GORDON
Practice Address - State:NE
Practice Address - Zip Code:69343-1198
Practice Address - Country:US
Practice Address - Phone:308-282-6189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113020363LF0000X
WAAP60986736363L00000X
ID62104363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily