Individual
MRS. DENISE ANN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(575) 915-1338
(575) 915-1819
Mailing address
2573 S ARIZONA AVE, YUMA, AZ 85364-7336
(928) 376-0220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3042
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP-03604
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401029-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349103
AHCCCS
AZ
05
—
93225008
—
NM
Enumeration date
09/29/2008
Last updated
01/09/2024
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