Provider Demographics
NPI:1801337514
Name:RACHELLE FRIESEN
Entity type:Organization
Organization Name:RACHELLE FRIESEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH DOULA
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:FRIESEN
Authorized Official - Suffix:
Authorized Official - Credentials:HBHD, GBCE
Authorized Official - Phone:773-218-1661
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty