Individual
VONDER W MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1855 AMES BLVD, SUITE B, MARRERO, LA 70072-3429
(504) 762-8900
Mailing address
PO BOX 2490, MARRERO, LA 70073-2490
(504) 762-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN063415 AP05757
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806056
—
LA
01
—
RN063415 AP05757
LA STATE BOARD OF NURSING ADVANCED PRACTICE R.N.
LA
Enumeration date
08/04/2009
Last updated
07/27/2012
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