Individual
MS. CARISSA KAREN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-FAMILY
Contact information
Practice address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177185-30
WI
163W00000X
Registered Nurse
R157161-9
MN
363LF0000X
Family Nurse Practitioner
Primary
5369-33
WI
363LF0000X
Family Nurse Practitioner
R157161-9
MN
Other
Enumeration date
03/26/2013
Last updated
08/14/2023
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