Provider Demographics
NPI:1659776144
Name:O'NEIL, KAREN M (CNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 STUDLEY ROYAL RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2042
Mailing Address - Country:US
Mailing Address - Phone:781-545-7368
Mailing Address - Fax:
Practice Address - Street 1:5 STUDLEY ROYAL RD
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-2042
Practice Address - Country:US
Practice Address - Phone:781-545-7368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN150071363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health