Provider Demographics
NPI:1831586155
Name:O'BRIEN, ANN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3059 BROADWAY CHN 11TH FL ROOM 1115
Mailing Address - Street 2:MORGAN STANLEY CHILDREN'S HOSPITAL OF NYP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-5825
Mailing Address - Fax:212-342-0518
Practice Address - Street 1:3059 BROADWAY CHN 11TH FL ROOM 1115
Practice Address - Street 2:MORGAN STANLEY CHILDREN'S HOSPITAL OF NYP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-5825
Practice Address - Fax:212-342-0518
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604560163W00000X
NYF338468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse