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Individual
KRISTIN MARIE O'BRIEN
Active
Individual
KRISTIN MARIE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204188
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
19019
SC
Other
Enumeration date
12/18/2012
Last updated
11/27/2018
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