Individual
STEPHANIE NICHOLE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
335 S OCOTILLO AVE, BENSON, AZ 85602-6406
(520) 586-4040
(520) 364-4261
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
224631
AZ
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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