Provider Demographics
NPI:1770301632
Name:MCNEIL, THERESA ANN (RN)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 SEMINARY RD
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-9643
Mailing Address - Country:US
Mailing Address - Phone:740-405-5279
Mailing Address - Fax:
Practice Address - Street 1:2813 SEMINARY RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-9643
Practice Address - Country:US
Practice Address - Phone:740-405-5279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN240013163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty