Provider Demographics
NPI:1912210766
Name:O'NEILL, MARY R (CRNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:R
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:RINEHART
Other - Last Name:O'NEILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:225 NEWTOWN ROAD 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974
Mailing Address - Country:US
Mailing Address - Phone:215-441-6825
Mailing Address - Fax:215-441-6623
Practice Address - Street 1:225 NEWTOWN ROAD 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974
Practice Address - Country:US
Practice Address - Phone:215-441-6825
Practice Address - Fax:215-441-6623
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP004366C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health