Provider Demographics
NPI:1184598559
Name:MCNEIL, KATHERINE (RN MSN PHN CSN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:RN MSN PHN CSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 IOWA ST
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2108
Mailing Address - Country:US
Mailing Address - Phone:760-695-9762
Mailing Address - Fax:
Practice Address - Street 1:321 IOWA ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2108
Practice Address - Country:US
Practice Address - Phone:760-695-9762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022433163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Single Specialty