Provider Demographics
NPI:1366879637
Name:REGA-OLIVEIRA, ZACHARY (DNP, APRN-BC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:REGA-OLIVEIRA
Suffix:
Gender:M
Credentials:DNP, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1352
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-5352
Mailing Address - Country:US
Mailing Address - Phone:401-474-9660
Mailing Address - Fax:866-676-6444
Practice Address - Street 1:158 COPELAND DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-1225
Practice Address - Country:US
Practice Address - Phone:401-474-9660
Practice Address - Fax:866-676-6444
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02737363L00000X
MARN2288980163W00000X, 363L00000X
RIRN52124163W00000X
RIPENDING363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse