Individual
SUSAN ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4286
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-4286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43867800
—
WI
Enumeration date
06/09/2006
Last updated
09/07/2023
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