Individual
MS. RENEE ANN MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.N.P. C.N.M.
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
Mailing address
112 6TH AVE E, SHAKOPEE, MN 55379-2326
(952) 445-3334
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R-102053-9
MN
363LW0102X
Women's Health Nurse Practitioner
R-102053-9
MN
367A00000X
Advanced Practice Midwife
R102053-9
MN
Other
Enumeration date
03/23/2007
Last updated
09/11/2025
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