Provider Demographics
NPI:1720219348
Name:MACNEIL, DONNA M (RN, DIPL ABT, ABT CP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:MACNEIL
Suffix:
Gender:F
Credentials:RN, DIPL ABT, ABT CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-2169
Mailing Address - Country:US
Mailing Address - Phone:774-273-3000
Mailing Address - Fax:508-378-8313
Practice Address - Street 1:968 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-2169
Practice Address - Country:US
Practice Address - Phone:774-273-3000
Practice Address - Fax:508-378-8313
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA821075146L00000X
MA142206163WC0200X
173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine