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STACIE NICOLE O'NEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
100 W MARKET ST STE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9412

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
3016583
KY
363LF0000X
Family Nurse Practitioner
3016583
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3016583
KY

Other

Enumeration date
08/25/2021
Last updated
02/02/2023
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