MEDICARE: DINA ELAINE MCNEIL DNP, 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
1	363LF0000X	Family Nurse Practitioner	ARNP9263135	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60635951	WA
3	363LF0000X	Family Nurse Practitioner	AP60635951	WA

General Provider Information

NPI Number	:	1558651513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA ELAINE MCNEIL DNP, ARNP

Provider Business Mailing Address
First Line	:	2758 78TH AVE SE APT C412
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3565
Country	:	US
Telephone Number	:	206-867-5005
Fax Number	:

Provider Business Practice Location Address
First Line	:	7683 SE 27TH ST # 294
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2804
Country	:	US
Telephone Number	:	206-867-5005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2011
Last Update Date	:	10/24/2024

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