Individual
MS. LAURA CHRISTINE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6505 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-2001
(314) 687-2734
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2014041454
MO
363L00000X
Nurse Practitioner
209012903
IL
363L00000X
Nurse Practitioner
Primary
277000586
IL
363LF0000X
Family Nurse Practitioner
2014041454
MO
Other
Enumeration date
12/11/2014
Last updated
10/26/2020
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