Provider Demographics
NPI:1609658145
Name:O'NEAL, CHARITY ROSE (RN)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:ROSE
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1507
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89803-1507
Mailing Address - Country:US
Mailing Address - Phone:775-340-6237
Mailing Address - Fax:
Practice Address - Street 1:1680 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4387
Practice Address - Country:US
Practice Address - Phone:775-340-9176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN52900163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy