Individual
CHERYL O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1851 W END AVE, POTTSVILLE, PA 17901-2050
(570) 628-2611
Mailing address
11 LORRAINE ST, TAMAQUA, PA 18252-4453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN232929L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017773240001
—
PA
Enumeration date
01/29/2007
Last updated
07/08/2007
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