Individual
HAROLD DEAN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1357 BARDSTOWN RD, LOUISVILLE, KY 40204-1353
(502) 897-6443
(502) 897-3461
Mailing address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006723
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71003264A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000668876
ANTHEM
IN
Enumeration date
07/01/2010
Last updated
07/21/2022
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