Individual
KATHLYN O BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
212 OCEAN BAY BLVD, LAVALLETTE, NJ 08735-1620
(732) 674-1553
(732) 793-0794
Mailing address
212 OCEAN BAY BLVD, LAVALLETTE, NJ 08735-1620
(732) 674-1553
(732) 793-0794
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NR06727600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00320900
NJ
Other
Enumeration date
07/20/2006
Last updated
03/09/2011
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