Provider Demographics
NPI:1700402856
Name:O'NEAL, AMYE (RDN)
Entity Type:Individual
Prefix:
First Name:AMYE
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7839 BAKERS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2244
Mailing Address - Country:US
Mailing Address - Phone:618-803-8138
Mailing Address - Fax:
Practice Address - Street 1:7839 BAKERS CREEK LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2244
Practice Address - Country:US
Practice Address - Phone:618-803-8138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered