=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861076770
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAIRE ADELAIDE O'BRIEN RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2021
-----------------------------------------------------
Last Update Date | 04/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14 WOODRUFF AVE STE 1
-----------------------------------------------------
City | NARRAGANSETT
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02882-3467
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-789-8543
-----------------------------------------------------
Fax | 401-782-8766
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 229
-----------------------------------------------------
City | WAKEFIELD
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02880-0229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-788-3929
-----------------------------------------------------
Fax | 401-788-3939
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN04981
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------