Healthcare Provider Details

I. General information

NPI: 1508756602
Provider Name (Legal Business Name): GIANCARLO RABAROZZI RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BRENNER AVE
SALISBURY NC
28144-2515
US

IV. Provider business mailing address

5862 GREEN MAPLE RUN
CONCORD NC
28027-8759
US

V. Phone/Fax

Practice location:
  • Phone: 800-706-9126
  • Fax:
Mailing address:
  • Phone: 561-346-4533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number300154
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: