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NPI Code Detail

MEDICARE: MS. PATRICIA ANN O'NEILL APRN

MEDICARE: MS. PATRICIA ANN O'NEILL APRN
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
1363LA2200XAdult Health Nurse Practitioner000873CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000873OTHERCTLISCENSE

General Provider Information

NPI Number : 1073547568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN O'NEILL APRN
Provider Business Mailing Address
First Line : PO BOX 415126
Second Line :
City : BOSTON
State : MA
Zip : 02241-5126
Country : US
Telephone Number : 203-384-3975
Fax Number : 203-384-3829
Provider Business Practice Location Address
First Line : 226 MILL HILL AVE
Second Line : 3RD FLOOR
City : BRIDGEPORT
State : CT
Zip : 06610-2826
Country : US
Telephone Number : 203-384-3394
Fax Number : 203-384-3829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 02/22/2011

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