Provider Demographics
NPI:1265650162
Name:O'CONNOR, CONSTANCE F (ANP)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:F
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
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Mailing Address - Street 1:36 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-4418
Mailing Address - Country:US
Mailing Address - Phone:617-447-1346
Mailing Address - Fax:857-267-4588
Practice Address - Street 1:264 HILLSIDE AVE STE 304
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-1301
Practice Address - Country:US
Practice Address - Phone:781-474-3255
Practice Address - Fax:617-447-1346
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2022-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA122889363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health