Provider Demographics
NPI:1720597164
Name:O'NEAL, EMILY CHRISTINE (ASN, RN)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:CHRISTINE
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:ASN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 JEFFERSON VLY
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46121-8938
Mailing Address - Country:US
Mailing Address - Phone:765-720-4091
Mailing Address - Fax:
Practice Address - Street 1:336 JEFFERSON VALLEY
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46121
Practice Address - Country:US
Practice Address - Phone:765-720-4091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28225506A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse