Individual
MRS. STACY MARIE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2780 CLEVELAND AVE STE 809, FORT MYERS, FL 33901-5817
(239) 343-9680
(239) 343-9685
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9680
(239) 343-9685
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APRN9278693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010953400
—
FL
Enumeration date
03/14/2014
Last updated
03/29/2021
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