Provider Demographics
NPI:1770893612
Name:MCNEILL, NORA ELLEN (RN, LM)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ELLEN
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:RN, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3023
Mailing Address - Country:US
Mailing Address - Phone:530-241-1141
Mailing Address - Fax:
Practice Address - Street 1:664A AZALEA AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0217
Practice Address - Country:US
Practice Address - Phone:530-241-1141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM 0077176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife