Individual
MRS. CAROL ANN MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2800 ORE VALLEY DR, HARTLAND, MI 48353-2810
(810) 730-9979
(810) 222-0526
Mailing address
2800 ORE VALLEY DR, HARTLAND, MI 48353-2810
(810) 730-9979
(810) 222-0526
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
4704260678
MI
163WC1500X
Community Health Registered Nurse
4704260678
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704260678
MI
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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