COLEEN E O'BRIEN PNP NPI 1467713008

NPI Information

NPI: 1467713008
Provider Name: COLEEN E O'BRIEN, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1001 BLYTHE BLVD.
SUITE 200D
CHARLOTTE, NC
ZIP 28203
Phone: (704) 373-1813
Get Directions

Coleen E O'brien, PNP is a pediatrics nurse practitioner in Charlotte, NC. Coleen E O'brien, PNP NPI is 1467713008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 BLYTHE BLVD.
SUITE 200D
CHARLOTTE, NC
ZIP 28203-215
Phone: (704) 373-1813
Fax: (704) 373-1813

The enumeration date for this NPI number is 5/30/2012 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	300221	NORTH CAROLINA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP4492	ARIZONA	Yes
3	363LP0200X	Nurse Practitioner	Pediatrics	RN173314	ARIZONA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	710871	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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