Doctor Name: | ELIZABETH WACHTEL O'BRIEN |
NPI Number: | 1023133790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM, NP |
License Number: | 7579 |
Business Practice Address: | 3200 Walford Ave Suite B Eureka, CA - 955034828 |
Business Phone Number: | 7074453443 |
Business Fax Number: | 7074451848 |
Mailing Address: | 3200 Walford Ave, Suite B EUREKA |
State: | CA |
Postal Code: | 955034828 |
Phone Number: | 7074453443 |
Fax Number: | 7074451848 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 7579 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |