Individual
MRS. ELIZABETH BLACK O'CONNOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
323 ROANOKE BLVD, SALEM, VA 24153-5009
(540) 520-9371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166572
VA
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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