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Individual
MICHAEL P O'BRIEN
Active
Individual
MICHAEL P O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN582042
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102956830
—
PA
Enumeration date
08/15/2012
Last updated
04/03/2017
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