Individual
MAE O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 649-8767
Mailing address
122 GRAND CHENIERE, MANDEVILLE, LA 70471-1760
(985) 845-7725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN016897
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912581
—
LA
Enumeration date
02/24/2006
Last updated
08/28/2007
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