Provider Demographics
NPI:1699474247
Name:MACNEIL, KELSEA (RN)
Entity type:Individual
Prefix:
First Name:KELSEA
Middle Name:
Last Name:MACNEIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1 DONALDS WAY
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-3439
Mailing Address - Country:US
Mailing Address - Phone:508-894-0400
Mailing Address - Fax:508-894-0412
Practice Address - Street 1:1 DONALDS WAY
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02050-3439
Practice Address - Country:US
Practice Address - Phone:781-296-3262
Practice Address - Fax:508-894-0412
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2024-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2341494163WM0102X
MARN2341494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn