Provider Demographics
NPI:1679043566
Name:O'NEILL, MARIANA CRISTINA (APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MARIANA
Middle Name:CRISTINA
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 SW 68TH COURT CIR APT 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6810
Mailing Address - Country:US
Mailing Address - Phone:305-281-1839
Mailing Address - Fax:
Practice Address - Street 1:7150 W 20TH AVE STE 612
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5534
Practice Address - Country:US
Practice Address - Phone:305-827-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily