Provider Demographics
NPI:1902035702
Name:OBRIEN, DAVID FRANCIS (CRNA, ARNP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:FRANCIS
Last Name:OBRIEN
Suffix:
Gender:M
Credentials:CRNA, ARNP
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Mailing Address - Street 1:16051 BRIARCLIFF LN
Mailing Address - Street 2:15342 BRIAR RIDGE CIRCLE
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4225
Mailing Address - Country:US
Mailing Address - Phone:239-633-3253
Mailing Address - Fax:941-229-0967
Practice Address - Street 1:15342 BRIAR RIDGE CIR
Practice Address - Street 2:16051 BRIARCLIFF LANE
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-2316
Practice Address - Country:US
Practice Address - Phone:239-633-3253
Practice Address - Fax:941-227-0967
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP1867212367500000X
NY3511411367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG0355Medicare PIN