Doctor Name: | DENISE KAY OBRIEN |
NPI Number: | 1790859197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SPOO7555 |
Business Practice Address: | 8 Silk Mill Dr Suite 226 Hawley, PA - 184281413 |
Business Phone Number: | 5703905000 |
Business Fax Number: | 5703905004 |
Mailing Address: | 15 Public Sq, Suite 600 WILKES BARRE |
State: | PA |
Postal Code: | 187011702 |
Phone Number: | 5708261777 |
Fax Number: | 5708233040 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | SPOO7555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |