Provider Demographics
NPI:1013029149
Name:O'BRYAN, CATHERINE WOJTAS (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WOJTAS
Last Name:O'BRYAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105662 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-3010
Mailing Address - Country:US
Mailing Address - Phone:305-451-0166
Mailing Address - Fax:
Practice Address - Street 1:105662 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3010
Practice Address - Country:US
Practice Address - Phone:305-451-0166
Practice Address - Fax:305-451-4864
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1857192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily