Active NPIIndividual provider

Nicole P Odabashyan, FNP

Nurse Practitioner, Family in Wakefield, Rhode Island

NPI Number1699478644
Practice location
70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253
Fax
401-788-8787
Last updated
April 9, 2025

Nicole Patricia Odabashyan is a Nurse Practitioner, Family based in Wakefield, RI. Nicole Patricia Odabashyan practices in Wakefield, RI and has the professional credentials of FNP. The NPI Number for Nicole Patricia Odabashyan is 1699478644 and holds a License No. RN65539 (RI). The current practice location address for Nicole Patricia Odabashyan is 70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253 and can be reached out via phone at 401-788-8780 and via fax at 401-788-8787.

Provider Profile Details

NPI Number
1699478644
Provider Name
Nicole Patricia Odabashyan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253
Phone Number
401-788-8780
Fax Number
401-788-8787
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2023
Last Update Date
April 9, 2025
Certification Date
April 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Kenyon Ave Ste 210
Wakefield, RI 02879-4253
Zip
02879-4253
Phone Number
401-788-8780
Fax Number
401-788-8787
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
Po Box 229
Wakefield, RI 02880-0229
City
Wakefield
State
RI
Zip
02880-0229
Phone Number
401-788-8757

License Information

License Number (1)
RN65539
License State (1)
RI
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
APRN04183
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole P Odabashyan, FNP?

The NPI number of Nicole P Odabashyan, FNP is 1699478644. It was assigned on March 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicole P Odabashyan, FNP?

Nicole P Odabashyan, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number RN65539.

Where does Nicole P Odabashyan, FNP practice?

The practice location is 70 Kenyon Ave Ste 210, Wakefield, RI 02879-4253. The office can be reached at 401-788-8780 (phone) or 401-788-8787 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699478644 directly on the NPPES registry website.

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