Provider Demographics
NPI:1841905049
Name:O'CONNOR, BRIANNA LEE (PA)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LEE
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5445 DTC PKWY STE 1130
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3038
Mailing Address - Country:US
Mailing Address - Phone:720-749-5599
Mailing Address - Fax:720-925-5897
Practice Address - Street 1:11990 GRANT ST STE 400
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1136
Practice Address - Country:US
Practice Address - Phone:720-773-2464
Practice Address - Fax:720-925-5897
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2024-03-12
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Provider Licenses
StateLicense IDTaxonomies
COPA.0007698363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant