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NPI Code Detail

MEDICARE: KARIN A O'BRIEN APRN

MEDICARE:   KARIN A O'BRIEN  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist172893MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11015647FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710909932
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN A O'BRIEN APRN
Provider Business Mailing Address
First Line : 809 COUNTY ROAD 466
Second Line : SUITE 101-C
City : LADY LAKE
State : FL
Zip : 32159-4205
Country : US
Telephone Number : 352-530-2256
Fax Number :
Provider Business Practice Location Address
First Line : 809 COUNTY ROAD 466
Second Line : SUITE 101-C
City : LADY LAKE
State : FL
Zip : 32159-4205
Country : US
Telephone Number : 352-530-2256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 02/07/2022

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Directions to “ KARIN A O'BRIEN APRN” Practice Location

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