Provider Demographics
NPI:1770983231
Name:O'CONNOR, FELISHA LORELLE (MSN,PMHNP-BC, RN)
Entity type:Individual
Prefix:MS
First Name:FELISHA
Middle Name:LORELLE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MSN,PMHNP-BC, RN
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Mailing Address - Street 1:4800 N SCOTTSDALE RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3930 EDISON LAKES PKWY STE 320
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-3474
Practice Address - Country:US
Practice Address - Phone:574-305-2345
Practice Address - Fax:574-966-1320
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY645780390200000X
NYF401980-1363LP0808X
IN28282147A163W00000X
IN71017266A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse