Individual
NAN G. O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, OB/GYN, RICHMOND, VA 23298-5051
(804) 560-8950
(804) 560-7343
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6215033
—
VA
Enumeration date
12/05/2005
Last updated
06/16/2008
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