Individual
MS. ELIZABETH W O'BRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 DATES DRIVE, SUITE 206, ITHACA, NY 14850
(607) 273-9111
Mailing address
202 TAUGHANNOCK BLVD, PO BOX 366, ITHACA, NY 14851
(607) 277-3257
(607) 277-4056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933559
—
NY
Enumeration date
04/11/2006
Last updated
07/08/2007
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