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NPI Code Detail

MEDICARE: EMILY OBRIEN

MEDICARE:   EMILY  OBRIEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1154265411
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY OBRIEN
Provider Business Mailing Address
First Line : 8300 CONSTANTIN BLVD FL 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3489
Country : US
Telephone Number : 225-374-1317
Fax Number : 225-374-1611
Provider Business Practice Location Address
First Line : 8415 GOODWOOD BLVD STE 202
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7851
Country : US
Telephone Number : 225-765-8013
Fax Number : 225-765-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ EMILY OBRIEN ” Practice Location

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