Individual
ANN LOUISE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 JAMES WAY, SUITE 209, PISMO BEACH, CA 93449-4976
(805) 773-7440
(805) 773-7448
Mailing address
504 PLAZA DR, SANTA MARIA, CA 93454-6917
(805) 739-3474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8442
CA
363LG0600X
Gerontology Nurse Practitioner
8442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB244032
MEDICARE ID
CA
Enumeration date
07/11/2006
Last updated
01/18/2017
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