Individual
MRS. CARMEN M. OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128
(314) 842-0602
(314) 842-4372
Mailing address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
133519
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428735603
—
MO
Enumeration date
10/03/2005
Last updated
06/05/2018
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