Provider Demographics
NPI:1679583280
Name:OCONNOR, ANNE M (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:TAGLIENTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:27 PARK ST
Mailing Address - Street 2:CAPE COD HOSPITAL ANESTHESIA DEPT
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-771-1800
Mailing Address - Fax:508-790-4674
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:CAPE COD HOSPITAL ANESTHESIA DEPT
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-1800
Practice Address - Fax:508-790-4674
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142675367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NA0536Medicare ID - Type Unspecified