| Doctor Name: | COLLEEN MARIE O'CONNELL |
| NPI Number: | 1104156082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.11229-NP |
| Business Practice Address: | 920 N Hamilton Rd Gahanna, OH - 432301757 |
| Business Phone Number: | 6142934969 |
| Business Fax Number: | 6142934724 |
| Mailing Address: | 700 Ackerman Rd, Suite 570 COLUMBUS |
| State: | OH |
| Postal Code: | 432021559 |
| Phone Number: | 6142930793 |
| Fax Number: | 6142934724 |
| NPI Enumeration Date: | 12/28/2009 |
| NPI Last Update Date: | 03/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | COA.11229-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |