Individual
CAROL O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3974
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP03410
OH
Other
Enumeration date
08/17/2006
Last updated
08/21/2007
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