Provider Demographics
NPI:1265405740
Name:OBRIEN, DONNA M (MSN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:OBRIEN
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Gender:F
Credentials:MSN
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Mailing Address - Street 1:NAVAL HEALTH CARE NEW ENGLAND GROTON
Mailing Address - Street 2:ROUTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349-5600
Mailing Address - Country:US
Mailing Address - Phone:860-694-2377
Mailing Address - Fax:860-694-2590
Practice Address - Street 1:NAVAL HEALTH CARE NEW ENGLAND NEWPORT
Practice Address - Street 2:43 SMITH ROAD
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02841-1002
Practice Address - Country:US
Practice Address - Phone:860-694-2377
Practice Address - Fax:860-694-2590
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
RINPP37320363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN