Healthcare Provider Details

I. General information

NPI: 1265699573
Provider Name (Legal Business Name): PATRICIA JOYCE OBRIEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 S TAMIAMI TRL SUITE 401
SARASOTA FL
34239-2940
US

IV. Provider business mailing address

PO BOX 25337
SARASOTA FL
34277-2337
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-0060
  • Fax: 941-957-4248
Mailing address:
  • Phone: 941-917-0060
  • Fax: 941-957-4248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2694802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: