Provider Demographics
NPI:1457624751
Name:O'NEIL, PAMELA GAY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:GAY
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-838-8265
Mailing Address - Fax:702-952-3364
Practice Address - Street 1:3175 SAINT ROSE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3506
Practice Address - Country:US
Practice Address - Phone:702-724-8787
Practice Address - Fax:702-952-3494
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2024-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI4745-33363L00000X
NVAPRN002836363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner