Provider Demographics
NPI:1124585385
Name:O'CONNOR, BRIGID ANNE
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:ANNE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 DELAWARE AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1007
Mailing Address - Country:US
Mailing Address - Phone:716-884-6711
Mailing Address - Fax:716-884-7734
Practice Address - Street 1:625 DELAWARE AVE STE 410
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1007
Practice Address - Country:US
Practice Address - Phone:716-884-6711
Practice Address - Fax:716-884-7734
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula