Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 241109 | MA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 703834 | CA |
NPI | 1043365133 |
---|---|
Provider Name | Margaret M O'connor |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 13/03/2008 |