Provider Demographics
NPI:1366618258
Name:O'CONNOR, BARBARA A (ARNP, NP-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:ARNP, NP-C
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:RATHOUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-3905
Mailing Address - Country:US
Mailing Address - Phone:515-574-6890
Mailing Address - Fax:
Practice Address - Street 1:804 KENYON RD
Practice Address - Street 2:SUITE M
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5742
Practice Address - Country:US
Practice Address - Phone:515-574-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101795363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner