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NPI Code Detail

MEDICARE: MRS. ALICIA MARIE O'NEILL ARNP

MEDICARE:  MRS. ALICIA MARIE O'NEILL  ARNP
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
1207Q00000XFamily Medicine PhysicianA165351IA
2363LF0000XFamily Nurse PractitionerA165351IA

General Provider Information

NPI Number : 1306515093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA MARIE O'NEILL ARNP
Provider Business Mailing Address
First Line : 705 ELM ST E
Second Line :
City : ROCKWELL
State : IA
Zip : 50469-1035
Country : US
Telephone Number : 641-372-0315
Fax Number :
Provider Business Practice Location Address
First Line : 705 ELM ST E
Second Line :
City : ROCKWELL
State : IA
Zip : 50469-1035
Country : US
Telephone Number : 641-372-0315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2021
Last Update Date : 11/21/2021

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Directions to “ MRS. ALICIA MARIE O'NEILL ARNP” Practice Location

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