Individual
RACHEL M O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 676-4144
(812) 339-8344
Mailing address
PO BOX 1149, BLOOMINGTON, IN 47402-1149
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200998290
—
IN
Enumeration date
09/24/2010
Last updated
12/18/2020
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