Individual
BARBARA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-8509
(315) 785-8619
Mailing address
445 FACTORY ST, PO BOX 91, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519780
—
NY
Enumeration date
07/24/2006
Last updated
04/30/2008
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