Individual
LEO SHANNON O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11455 N MERIDIAN ST, 200, CARMEL, IN 46032-1624
(317) 582-8180
(317) 582-8182
Mailing address
12302 HANCOCK ST, CARMEL, IN 46032-5807
(317) 564-4836
(317) 587-2341
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28129315A
IN
Other
Enumeration date
12/07/2011
Last updated
01/06/2012
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