Provider Demographics
NPI:1669862512
Name:O'NEILL, ELENA LOUISE (CNM, ARNP)
Entity Type:Individual
Prefix:MS
First Name:ELENA
Middle Name:LOUISE
Last Name:O'NEILL
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Gender:F
Credentials:CNM, ARNP
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Mailing Address - Street 1:1501 YAMATO RD SUITE 200 WEST
Mailing Address - Street 2:FLORIDA WOMAN CARE, LLC
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-300-2410
Mailing Address - Fax:561-235-7292
Practice Address - Street 1:101 SE 27TH AVENUE
Practice Address - Street 2:
Practice Address - City:BOYNTON BCH
Practice Address - State:FL
Practice Address - Zip Code:33445
Practice Address - Country:US
Practice Address - Phone:561-738-9761
Practice Address - Fax:561-738-5592
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLFLARNP442992367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife