Provider Demographics
NPI:1144669136
Name:OBRIEN, CINDY MARIE (APNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MARIE
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:APNP, NP-C
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:MARIE
Other - Last Name:DORNACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP, NP-C
Mailing Address - Street 1:5564 CHERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-9816
Mailing Address - Country:US
Mailing Address - Phone:262-305-6283
Mailing Address - Fax:855-276-4412
Practice Address - Street 1:10701 W RESEARCH DR
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3452
Practice Address - Country:US
Practice Address - Phone:262-305-6283
Practice Address - Fax:855-276-4412
Is Sole Proprietor?:No
Enumeration Date:2013-06-23
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI532333363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health