Doctor Name: | MICHELE R O'BRIEN |
NPI Number: | 1023117637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | R1215438 |
Business Practice Address: | 6545 France Ave S Ste 210 Edina, MN - 554352281 |
Business Phone Number: | 9529282900 |
Business Fax Number: | 9529282944 |
Mailing Address: | 6545 France Ave S, Suite 210 EDINA |
State: | MN |
Postal Code: | 554352131 |
Phone Number: | 9529282900 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | R1215438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |