Individual
MICHAEL MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
98 W COUGAR BLVD APT 128, PROVO, UT 84604-2588
(503) 473-4121
Mailing address
98 W COUGAR BLVD APT 128, PROVO, UT 84604-2588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106685054405
UT
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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