Healthcare Provider Details

I. General information

NPI: 1861597346
Provider Name (Legal Business Name): DAVID OLSZEWSKI CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 HEMINGWAY DR
RIVERSIDE RI
02915-2224
US

IV. Provider business mailing address

11 ALANNA CT
WARWICK RI
02886-6687
US

V. Phone/Fax

Practice location:
  • Phone: 401-490-2130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA24756
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209211
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN01091
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: