Provider Demographics
NPI:1871718635
Name:O'CONNOR, PEGGY MARTIN (RN, CNP)
Entity type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:MARTIN
Last Name:O'CONNOR
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Gender:F
Credentials:RN, CNP
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Mailing Address - Street 1:2414 BERWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2806
Mailing Address - Country:US
Mailing Address - Phone:614-231-7697
Mailing Address - Fax:614-234-2190
Practice Address - Street 1:MT CARMEL WEST HOSPITAL
Practice Address - Street 2:793 W STATE ST.
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1560
Practice Address - Country:US
Practice Address - Phone:614-234-1825
Practice Address - Fax:614-234-2190
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OHRN155488 NP01692363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal