Provider Demographics
NPI:1427564632
Name:O'BRIEN-CAGNEY, MAUREEN TERESE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:TERESE
Last Name:O'BRIEN-CAGNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 S ROCA ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3676
Mailing Address - Country:US
Mailing Address - Phone:480-855-8228
Mailing Address - Fax:
Practice Address - Street 1:1023 S ROCA ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3676
Practice Address - Country:US
Practice Address - Phone:480-855-8228
Practice Address - Fax:480-855-8228
Is Sole Proprietor?:No
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily