| Doctor Name: | SHAWN PATRICK O'BRIEN |
| NPI Number: | 1124427695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 543858 |
| Business Practice Address: | 76 Veterans Ave Bath, NY - 148100810 |
| Business Phone Number: | 6076644377 |
| Business Fax Number: | |
| Mailing Address: | 3 Whitney Farms Cir, FAIRPORT |
| State: | NY |
| Postal Code: | 144501125 |
| Phone Number: | 5856629754 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2014 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 543858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |