Individual
MARY O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 475-8730
(513) 475-7257
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.17778-NP
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0021205
OH
Other
Enumeration date
07/27/2015
Last updated
01/23/2025
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