Provider Demographics
NPI:1871892794
Name:MCNEIL, DIANA ELIZABETH (NP-C)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:ELIZABETH
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:ELIZABETH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HOSPICE WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6989
Mailing Address - Country:US
Mailing Address - Phone:336-475-5444
Mailing Address - Fax:
Practice Address - Street 1:200 HOSPICE WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6989
Practice Address - Country:US
Practice Address - Phone:336-475-5444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201348363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner