Individual
AMBER O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
21104 DELAKE AVE, PORT CHARLOTTE, FL 33954-3020
(443) 676-6541
Mailing address
21104 DELAKE AVE, PORT CHARLOTTE, FL 33954-3020
(443) 676-6541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002187
FL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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