Provider Demographics
NPI:1710623111
Name:O'BIER, MARY KATHYN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KATHYN
Last Name:O'BIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:659 HOSPITAL RD STE 201
Practice Address - Street 2:
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-7000
Practice Address - Country:US
Practice Address - Phone:804-828-4362
Practice Address - Fax:804-828-7865
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024184037363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily