Provider Demographics
NPI:1427584184
Name:FRIESEN, RACHELLE BRIANNE (HBHD, GBCE)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:BRIANNE
Last Name:FRIESEN
Suffix:
Gender:F
Credentials:HBHD, GBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3701
Mailing Address - Country:US
Mailing Address - Phone:773-218-1661
Mailing Address - Fax:
Practice Address - Street 1:51 GLEN AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-3701
Practice Address - Country:US
Practice Address - Phone:773-218-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator