Provider Demographics
NPI:1447862925
Name:O'CONNOR, ANN NOWLIN (RN, CNP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:NOWLIN
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:VIOLA
Other - Last Name:NOWLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:223 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-6755
Mailing Address - Country:US
Mailing Address - Phone:978-855-4051
Mailing Address - Fax:
Practice Address - Street 1:223 STUART AVE
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-6755
Practice Address - Country:US
Practice Address - Phone:978-855-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA151641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily