Individual
SANDRA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
(301) 576-7736
Mailing address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
(301) 576-7736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R080218
MD
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
R080218
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R080218
LICENSE
MD
Enumeration date
03/23/2010
Last updated
08/05/2011
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