Healthcare Provider Details

I. General information

NPI: 1821924002
Provider Name (Legal Business Name): SIAVHAN O'BRIEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 N MEDFORD DR
TUCSON AZ
85710-2571
US

IV. Provider business mailing address

334 N MEDFORD DR
TUCSON AZ
85710-2571
US

V. Phone/Fax

Practice location:
  • Phone: 520-729-0327
  • Fax:
Mailing address:
  • Phone: 520-729-0327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number341597
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: