Individual
IAN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-BC
Contact information
Practice address
5757 PLAZA DR, CYPRESS, CA 90630-5000
(407) 335-8226
Mailing address
12026 HOFFMAN ST UNIT 101, STUDIO CITY, CA 91604-4726
(321) 223-8361
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002144
FL
Other
Enumeration date
05/03/2017
Last updated
06/03/2021
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