Individual
MS. JOAN ELIZABETH O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1011 N ELMER AVE, SAYRE, PA 18840-1832
(570) 888-3070
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
UP004890D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922903
—
NY
01
—
500013366
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
Enumeration date
02/03/2006
Last updated
03/12/2021
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