Individual
MARYBETH L O NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2100 CAMPUS DR SE, ROCHESTER, ROCHESTER, MN 55904-4831
(507) 259-5329
Mailing address
2100 CAMPUS DR SE, ROCHESTER, ROCHESTER, MN 55904-4831
(507) 259-5329
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R 097255-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163405400
—
MN
Enumeration date
02/07/2007
Last updated
04/08/2011
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