Healthcare Provider Details

I. General information

NPI: 1477410231
Provider Name (Legal Business Name): ASHLEY BREANNE O'BRIEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S SEACREST BLVD STE 150
BOYNTON BEACH FL
33435-7961
US

IV. Provider business mailing address

2800 S SEACREST BLVD STE 150
BOYNTON BEACH FL
33435-7961
US

V. Phone/Fax

Practice location:
  • Phone: 561-734-1888
  • Fax:
Mailing address:
  • Phone: 561-734-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042504
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: