Individual
CASEY MICHELLE O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 443-3178
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2808095A
IN
363L00000X
Nurse Practitioner
71011706A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71011706A
IN
Other
Enumeration date
08/26/2020
Last updated
01/25/2023
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