Provider Demographics
NPI:1295884732
Name:O'NEIL, JULIE A (CNM)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 HOSPITAL PKWY
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-6906
Mailing Address - Country:US
Mailing Address - Phone:402-228-3117
Mailing Address - Fax:402-223-6565
Practice Address - Street 1:353 DEADMOND FERRY RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-9406
Practice Address - Country:US
Practice Address - Phone:541-222-7750
Practice Address - Fax:541-338-1079
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44450363LW0102X
NE120043367A00000X
OR201804089NP-PP176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife