Healthcare Provider Details

I. General information

NPI: 1366879637
Provider Name (Legal Business Name): ZACHARY S REGA-OLIVEIRA DNP, APRN-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 COPELAND DR
MANSFIELD MA
02048-1225
US

IV. Provider business mailing address

PO BOX 1352
MANSFIELD MA
02048-5352
US

V. Phone/Fax

Practice location:
  • Phone: 401-474-9660
  • Fax: 866-676-6444
Mailing address:
  • Phone: 401-474-9660
  • Fax: 866-676-6444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN02737
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2288980
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN52124
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2288980
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: