Provider Demographics
NPI:1851389829
Name:O'HARA, MYRA JANET (NP)
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:JANET
Last Name:O'HARA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 YORKSHIRE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7783
Mailing Address - Country:US
Mailing Address - Phone:828-274-1600
Mailing Address - Fax:828-274-1603
Practice Address - Street 1:15 YORKSHIRE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7783
Practice Address - Country:US
Practice Address - Phone:828-274-1600
Practice Address - Fax:828-274-1603
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC005000708363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMW0495817OtherDEA
NCNC9596AMedicare PIN