Provider Demographics
NPI:1427167394
Name:O'NEILL, LISA MAUREEN (CNM)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:MAUREEN
Last Name:O'NEILL
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Gender:F
Credentials:CNM
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Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:598 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:CA
Practice Address - Zip Code:93927-4926
Practice Address - Country:US
Practice Address - Phone:831-674-2200
Practice Address - Fax:831-674-5812
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-26
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Provider Licenses
StateLicense IDTaxonomies
CANM 1437367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife