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Individual
SHERRY O'BRIEN
Active
Individual
SHERRY O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN170043
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP10273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282324
—
AZ
01
—
Z219446
MEDICARE
AZ
Enumeration date
12/03/2015
Last updated
04/24/2019
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