Provider Demographics
NPI:1265253439
Name:O'BRIEN, ANNA (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:O'BRIEN
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 1:237 BROOK VILLAGE RD APT 2
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2851
Mailing Address - Country:US
Mailing Address - Phone:603-438-1928
Mailing Address - Fax:
Practice Address - Street 1:237 BROOK VILLAGE RD APT 2
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2851
Practice Address - Country:US
Practice Address - Phone:603-438-1928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH085015-21163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical