Individual
PATRICIA M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 358-2045
Mailing address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 358-2045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5481
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5481
5481 CT LICENSE
CT
Enumeration date
09/24/2013
Last updated
09/24/2013
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