Provider Demographics
NPI:1730439332
Name:O'CONNOR, PATRICIA BOOKER (ICD, CD(DONA), CLC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BOOKER
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:ICD, CD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27404 SW 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-4388
Mailing Address - Country:US
Mailing Address - Phone:352-317-8362
Mailing Address - Fax:
Practice Address - Street 1:27404 SW 30TH AVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-4388
Practice Address - Country:US
Practice Address - Phone:352-317-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula