Provider Demographics
NPI:1457898918
Name:O'CONNOR, DANA KATHERINE (DNP, CNM)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:KATHERINE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:DNP, CNM
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:KATHERINE
Other - Last Name:VELZY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CNM
Mailing Address - Street 1:10760 WACO ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-4045
Mailing Address - Country:US
Mailing Address - Phone:248-798-5789
Mailing Address - Fax:
Practice Address - Street 1:10405 MLK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2399
Practice Address - Country:US
Practice Address - Phone:303-393-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704296911176B00000X
COAPN.0996995-CNM176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife