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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN O'NEILL MS ARNP-BC

MEDICARE: MRS. ELIZABETH ANN O'NEILL MS ARNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerCP000514SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215135348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN O'NEILL MS ARNP-BC
Provider Business Mailing Address
First Line : 1000 E 23RD ST
Second Line : SUITE #230
City : SIOUX FALLS
State : SD
Zip : 57105-2108
Country : US
Telephone Number : 605-322-7334
Fax Number : 605-322-6738
Provider Business Practice Location Address
First Line : 1000 E 23RD ST
Second Line : SUITE #230
City : SIOUX FALLS
State : SD
Zip : 57105-2108
Country : US
Telephone Number : 605-322-7334
Fax Number : 605-322-6738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2007
Last Update Date : 10/14/2015

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