Provider Demographics
NPI:1922339878
Name:O'NEILL, SHARON D (APNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-5958
Mailing Address - Country:US
Mailing Address - Phone:414-979-5818
Mailing Address - Fax:
Practice Address - Street 1:1708 PARAMOUNT CT
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-3967
Practice Address - Country:US
Practice Address - Phone:262-522-8640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3956363L00000X
WI3956-33363LF0000X
WI3956-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner