Provider Demographics
NPI:1437511698
Name:O'LEARY, JOANNE DENISE (DNP-RN, NCSN)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:DENISE
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:DNP-RN, NCSN
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:DENISE
Other - Last Name:O'LEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN-RN
Mailing Address - Street 1:368 MAIN STREET
Mailing Address - Street 2:P.O. BOX 69
Mailing Address - City:ST. AGATHA
Mailing Address - State:ME
Mailing Address - Zip Code:04772
Mailing Address - Country:US
Mailing Address - Phone:207-543-7717
Mailing Address - Fax:207-543-6316
Practice Address - Street 1:368 MAIN STREET
Practice Address - Street 2:P.O. BOX 69
Practice Address - City:ST. AGATHA
Practice Address - State:ME
Practice Address - Zip Code:04772
Practice Address - Country:US
Practice Address - Phone:207-543-7717
Practice Address - Fax:207-543-6316
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN41471163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse