O'Brien, Coleen E
O'Brien, Coleen E is an individual health care provider with primary practice located at 1001 Blythe Blvd. Suite 200D, Charlotte NC 28203-6215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. O'Brien, Coleen E can be contacted via phone (704) 373-1813.Contact Information
Primary practice address
1001 Blythe Blvd. Suite 200D
Charlotte NC 28203-6215
Phone: (704) 373-1813
Fax: (704) 373-1813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN173314 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP4492 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 300221 | North Carolina |
Profile Details
| NPI number | 1467713008 |
|---|---|
| LBN Legal business name | O'Brien, Coleen E |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2012 |
| Last updated | Feb 17th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467713008 | NPPES |
| Arizona | MEDICAID | 710871 |
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