Individual
MS. DIANNE AMANDA MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN; ANP
Contact information
Practice address
24 MILLBROOK HOLLOW, MILLBROOK, NY 12545-0604
(845) 677-1207
Mailing address
PO BOX 604, 24 MILLBROOK HOLLOW, MILLBROOK, NY 12545-0604
(845) 677-1207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
265872-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F300097-1
NY
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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