Provider Demographics
NPI:1609869742
Name:MCNEARY, ANTOINETTE MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:ANTOINETTE
Middle Name:MARIE
Last Name:MCNEARY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 VALLEY VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27332-2349
Mailing Address - Country:US
Mailing Address - Phone:910-224-1697
Mailing Address - Fax:
Practice Address - Street 1:383 MAYNARD ST
Practice Address - Street 2:
Practice Address - City:POPE A F B
Practice Address - State:NC
Practice Address - Zip Code:28308-2321
Practice Address - Country:US
Practice Address - Phone:910-394-1250
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX636243363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health