Provider Demographics
NPI:1821981101
Name:O'BRIEN, ELIZABETH ANNA MARGARET (BSN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNA MARGARET
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 GLACIER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-3931
Mailing Address - Country:US
Mailing Address - Phone:317-447-1299
Mailing Address - Fax:
Practice Address - Street 1:2301 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5729
Practice Address - Country:US
Practice Address - Phone:833-904-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator