O Neil, Marybeth L

O Neil, Marybeth L is an individual health care provider with primary practice located at 2100 Campus Dr Se Rochester, Rochester MN 55904-4831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. O Neil, Marybeth L can be contacted via phone (507) 259-5329.

Contact Information

Primary practice address
2100 Campus Dr Se Rochester Rochester MN 55904-4831
Phone: (507) 259-5329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R 097255-2 Minnesota

Profile Details

NPI number 1598805079
LBN Legal business name O Neil, Marybeth L
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Apr 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598805079 NPPES
Minnesota MEDICAID 163405400

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