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NPI Code Detail

MEDICARE: MRS. PAMELA GAY O'NEIL APRN

MEDICARE:  MRS. PAMELA GAY O'NEIL  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
1363L00000XNurse Practitioner4745-33WI
2363L00000XNurse PractitionerAPRN002836NV

General Provider Information

NPI Number : 1457624751
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA GAY O'NEIL APRN
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-838-8265
Fax Number : 702-952-3364
Provider Business Practice Location Address
First Line : 3175 SAINT ROSE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3506
Country : US
Telephone Number : 702-724-8787
Fax Number : 702-952-3494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2012
Last Update Date : 02/22/2024

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Directions to “ MRS. PAMELA GAY O'NEIL APRN” Practice Location

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