Provider Demographics
NPI:1578100277
Name:MCNEARNEY, VIRGINIA SEIDEL (ARNP, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:SEIDEL
Last Name:MCNEARNEY
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:5740 HOLLYWOOD BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6363
Mailing Address - Country:US
Mailing Address - Phone:954-648-0229
Mailing Address - Fax:
Practice Address - Street 1:3100 N PALM AIRE DR APT 110
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3849
Practice Address - Country:US
Practice Address - Phone:954-648-0229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily