Provider Demographics
NPI:1669606596
Name:O'NEILL, KATHLEEN FM (RN, CRNP)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:FM
Last Name:O'NEILL
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Gender:F
Credentials:RN, CRNP
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Mailing Address - Street 1:4001 BRANDYWINE ST NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-1876
Mailing Address - Country:US
Mailing Address - Phone:202-331-1740
Mailing Address - Fax:202-420-7222
Practice Address - Street 1:4001 BRANDYWINE ST NW
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-1876
Practice Address - Country:US
Practice Address - Phone:202-331-1740
Practice Address - Fax:202-420-7222
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2017-04-13
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Provider Licenses
StateLicense IDTaxonomies
MDR184421363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health