MS. JOAN ELIZABETH O'CONNOR CRNP NPI 1588636567

NPI Information

NPI: 1588636567
Provider Name: MS. JOAN ELIZABETH O'CONNOR, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1011 N ELMER AVE
SAYRE, PA
ZIP 18840
Phone: (570) 888-3070
Get Directions

MS. Joan Elizabeth O'connor, CRNP is a pediatrics nurse practitioner in Sayre, PA. MS. Joan Elizabeth O'connor, CRNP NPI is 1588636567. 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:

1011 N ELMER AVE
SAYRE, PA
ZIP 18840-832
Phone: (570) 888-3070

The NPI 1588636567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 3/12/2021.

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	UP004890D	PENNSYLVANIA	Yes

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	CC9269	OTHER	PENNSYLVANIA	RR MEDICARE GROUP
2	01922903	MEDICAID	NEW YORK
3	500013366	OTHER	PENNSYLVANIA	RR MEDICARE PIN

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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