Individual
MS. DEBORAH K O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1481 W 10TH ST, ROOM 325, MAIL STOP 958, INDIANAPOLIS, IN 46202-2803
(317) 988-2322
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219590
—
IN
Enumeration date
05/25/2007
Last updated
01/14/2011
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