| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COLLEEN THERESE O'BRIEN | 1801508148 | 2024-06-09 |
Colleen Therese O'brien is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801508148. Registration indicates Colleen Therese O'brien is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Colleen Therese O'brien DNP |
| Other Provider Name | Colleen Therese O'brien |
| Practice Office Address | 319 FOLLY RD CHARLESTON, SC US |
| Practice Office Telephone | 8432032246 |
| Mailing Address | PO BOX 751649 CHARLOTTE, NC 282751649 US |
| Business Telephone | 8884720043 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 316 Calhoun St | Charleston, SC 294011113 | 8437242450 |
| 1 Bishop Gadsden Way Ste 97 | Charleston, SC 294123506 | 8434062362 |
| email [] | [email protected] | Health Information Exchange (HIE) Roper Saint Francis |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 26846
SC |
| NP9092 | MEDICAID | SC |