=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417639816
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LIAM DONALD MCNEIL FNP-C
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2023
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 86 TAUNTON ST
-----------------------------------------------------
City | PLAINVILLE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02762-2131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-928-5211
-----------------------------------------------------
Fax | 508-928-5212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 360 US HIGHWAY 1 BYP UNIT 102
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03801-7105
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-928-5211
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN2315555
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------