=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104815539
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROLYN M O'BRIEN N.P
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2005
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31 DANIELS ST
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02038-1103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-530-3140
-----------------------------------------------------
Fax | 508-538-3142
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 383
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02038-0383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-530-3140
-----------------------------------------------------
Fax | 508-530-3142
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | RN190716
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 190716
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------