Individual
CATHERINE M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26495 STATE ROUTE 3, WATERTOWN, NY 13601-1749
(315) 786-1924
(315) 786-0823
Mailing address
PO BOX 8009, WATERTOWN, NY 13601-8009
(315) 786-1924
(315) 786-0823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332600-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02011310
—
NY
Enumeration date
08/05/2006
Last updated
05/21/2008
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