Individual ProviderRoberta O'BrienNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3645 Stonecreek Blvd, Suite E, Cincinnati, OH 45251-1468(513) 687-0500PECOS EnrollmentBased on the most recent information from CMS, provider Roberta O'Brien is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1316330889Provider TypeIndividualFull NameO'Brien, RobertaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date3/9/2015Last Updated3/9/2015Contact InformationPractice LocationPractice Address3645 Stonecreek Blvd, Suite E, Cincinnati, OH 45251-1468Phone(513) 687-0500Fax(513) 598-1107Mailing LocationMailing Address3645 Stonecreek Blvd, Suite E, Cincinnati, OH 45251-1468Phone(513) 687-0500Fax(513) 598-1107Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3009282Kentucky