# DEIRDRE K O'BRIEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366636664
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN135235 | GA | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 01/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN135235 | STATE OF GEORGIA LICENSE | GA |