Individual
BRIAN P O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1134 ROAD 7, POWELL, WY 82435-8545
(307) 754-9196
Mailing address
1134 ROAD 7, POWELL, WY 82435-8545
(307) 754-9196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23848
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23848.1193
WY
Other
Enumeration date
05/08/2012
Last updated
10/02/2012
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