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NPI Code Detail

MEDICARE: THEA OLSEN

MEDICARE: THEA OLSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WL0100XLactation Consultant (Registered Nurse)RN60464946RI
2163WP0808XPsychiatric/Mental Health Registered NurseRN54959RI

General Provider Information

NPI Number : 1427623198
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEA OLSEN
Provider Business Mailing Address
First Line : 4512 POST RD
Second Line :
City : EAST GREENWICH
State : RI
Zip : 02818-4124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2756 POST RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-3077
Country : US
Telephone Number : 401-691-6000
Fax Number : 401-738-7718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 02/02/2026

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Directions to “ THEA OLSEN ” Practice Location

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