Healthcare Provider Details

I. General information

NPI: 1104815539
Provider Name (Legal Business Name): CAROLYN M O'BRIEN N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 DANIELS ST
FRANKLIN MA
02038-1103
US

IV. Provider business mailing address

PO BOX 383
FRANKLIN MA
02038-0383
US

V. Phone/Fax

Practice location:
  • Phone: 508-530-3140
  • Fax: 508-538-3142
Mailing address:
  • Phone: 508-530-3140
  • Fax: 508-530-3142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN190716
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number190716
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: