Individual
LAURA S O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
641 W WARNER RD, GILBERT, AZ 85233-7266
(480) 722-9828
(480) 722-9831
Mailing address
1250 S CLEARVIEW AVE STE 100, URGENT CARE EXTRA, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN089020
AZ
363L00000X
Nurse Practitioner
Primary
AP4424
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4424
LICENSE
AZ
Enumeration date
05/09/2012
Last updated
08/24/2015
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