Provider Demographics
NPI:1700990298
Name:O'BRIEN, VERONICA M (CNM)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:M
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 GIFT HL
Mailing Address - Street 2:
Mailing Address - City:ST JOHN
Mailing Address - State:VI
Mailing Address - Zip Code:00830-9504
Mailing Address - Country:US
Mailing Address - Phone:340-643-3621
Mailing Address - Fax:340-693-9506
Practice Address - Street 1:6518 GIFT HL
Practice Address - Street 2:
Practice Address - City:ST JOHN
Practice Address - State:VI
Practice Address - Zip Code:00830-9504
Practice Address - Country:US
Practice Address - Phone:340-693-9505
Practice Address - Fax:340-693-9506
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1429367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife