Healthcare Provider Details

I. General information

NPI: 1639081482
Provider Name (Legal Business Name): ASHLEY ONEILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 BOSTON ST STE 220216
BALTIMORE MD
21224-4976
US

IV. Provider business mailing address

7917 SHORE RD
SPARROWS POINT MD
21219-2310
US

V. Phone/Fax

Practice location:
  • Phone: 443-815-7072
  • Fax:
Mailing address:
  • Phone: 443-695-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR257897
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: