Provider Demographics
NPI:1255053047
Name:MCNEIL, ELIZABETH (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 NEWMAN AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7043
Mailing Address - Country:US
Mailing Address - Phone:714-847-6900
Mailing Address - Fax:
Practice Address - Street 1:22386 CAMINITO MADERA
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1638
Practice Address - Country:US
Practice Address - Phone:714-225-8639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022617207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine