Provider Demographics
NPI:1164467346
Name:O'BRIEN, PATRICIA ANNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1923 BEACHROCK DRIVE
Mailing Address - Street 2:
Mailing Address - City:BROOKELAND
Mailing Address - State:TX
Mailing Address - Zip Code:75966
Mailing Address - Country:US
Mailing Address - Phone:409-983-1161
Mailing Address - Fax:409-983-4933
Practice Address - Street 1:1111 WORTH ST
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-7223
Practice Address - Country:US
Practice Address - Phone:409-787-1707
Practice Address - Fax:409-787-1730
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721682363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner