Healthcare Provider Details

I. General information

NPI: 1538202452
Provider Name (Legal Business Name): MARGARET MARY O'CONNOR GNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WOODLAND RD STE 101
SAINT HELENA CA
94574-9501
US

IV. Provider business mailing address

6 WOODLAND RD STE 101
SAINT HELENA CA
94574-9501
US

V. Phone/Fax

Practice location:
  • Phone: 707-963-7028
  • Fax: 707-963-7255
Mailing address:
  • Phone: 707-963-7028
  • Fax: 707-963-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95031336
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN3104612
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3104612
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: