Individual
MICHELLE BEATRICE OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6239 GRANBURY RD, FORT WORTH, TX 76133-3401
(817) 652-3395
(817) 263-8878
Mailing address
6239 GRANBURY RD, FORT WORTH, TX 76133-3401
(817) 652-3395
(817) 263-8878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
541137
TX
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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