Individual
TONY JOHN MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12176 S 1000 E STE 4, DRAPER, UT 84020-3221
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13406988-4405
UT
363L00000X
Nurse Practitioner
APRN11001753
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11001753
FL
Other
Enumeration date
04/25/2019
Last updated
01/27/2026
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