Provider Demographics
NPI:1013257716
Name:OCONNOR, MAUREEN (RN)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ELM ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1030
Mailing Address - Country:US
Mailing Address - Phone:203-530-7346
Mailing Address - Fax:
Practice Address - Street 1:105 ELM ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-1030
Practice Address - Country:US
Practice Address - Phone:203-530-7346
Practice Address - Fax:203-483-8314
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE33876163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care