Individual
ELISA A. O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17 WOODS AVE, GREENWICH, CT 06831-3633
(203) 531-0729
Mailing address
17 WOODS AVE, GREENWICH, CT 06831-3633
(203) 531-0729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004842
CT
363LF0000X
Family Nurse Practitioner
073864
CT
Other
Enumeration date
07/05/2012
Last updated
03/19/2014
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