Provider Demographics
NPI:1417639816
Name:MCNEIL, LIAM DONALD (FNP-C)
Entity type:Individual
Prefix:
First Name:LIAM
Middle Name:DONALD
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:508-928-5211
Mailing Address - Fax:
Practice Address - Street 1:86 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2131
Practice Address - Country:US
Practice Address - Phone:508-928-5211
Practice Address - Fax:508-928-5212
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2315555363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily