Individual
MADELYN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
630 S EXETER ST, BALTIMORE, MD 21202-4316
(866) 389-2727
Mailing address
630 S EXETER ST, BALTIMORE, MD 21202-4316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R208329
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N96482
CDS
MD
Enumeration date
08/06/2018
Last updated
03/07/2023
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