Provider Demographics
NPI:1174505085
Name:ONIEAL, MARIE-EILEEN (PHD, RN, CPNP)
Entity type:Individual
Prefix:
First Name:MARIE-EILEEN
Middle Name:
Last Name:ONIEAL
Suffix:
Gender:F
Credentials:PHD, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CLEMENT CT
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1192
Mailing Address - Country:US
Mailing Address - Phone:781-289-4298
Mailing Address - Fax:
Practice Address - Street 1:33 CLEMENT CT
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1192
Practice Address - Country:US
Practice Address - Phone:781-289-4298
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA145089363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics