Healthcare Provider Details

I. General information

NPI: 1033359526
Provider Name (Legal Business Name): RACHAEL CATHERINE OLOBRI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 ROBINSON ST
WAKEFIELD RI
02879-3590
US

IV. Provider business mailing address

47 STERN ST
JAMESTOWN RI
02835-2671
US

V. Phone/Fax

Practice location:
  • Phone: 401-284-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN43589
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: