Individual
MRS. MARY ELIZABETH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R073974
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333703100
—
MD
Enumeration date
11/04/2005
Last updated
07/06/2013
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