Individual
MS. SUSAN G O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028-6061
(602) 494-5050
Mailing address
11209 N TATUM BLVD STE 255, PHOENIX, AZ 85028-6025
(602) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041322316
IL
163W00000X
Registered Nurse
341302
AZ
363L00000X
Nurse Practitioner
Primary
209005704
IL
Other
Enumeration date
09/18/2012
Last updated
08/03/2026
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