Individual provider · Type 1 NPI

Michael Stephen O'Connor, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1134475742 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-5864 Map

Fax (215) 707-6867

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP011887 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1134475742

Michael Stephen O'Connor, CRNP's National Provider Identifier is 1134475742, issued on Aug 1, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 17, 2018.