Provider Demographics
NPI:1255225330
Name:OLAUSEN, PAIGE NOEL
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:NOEL
Last Name:OLAUSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5166
Mailing Address - Country:US
Mailing Address - Phone:401-536-7441
Mailing Address - Fax:
Practice Address - Street 1:195 ONTARIO ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1771
Practice Address - Country:US
Practice Address - Phone:401-536-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered