Individual
MARY JANE F O'BRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
128206
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351920
—
MA
Enumeration date
06/06/2006
Last updated
07/08/2007
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