Provider Demographics
NPI:1710383906
Name:OLABIRAN, ROSEMARIE (LPN)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:OLABIRAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:OLABIRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:957 UTICA AVE
Mailing Address - Street 2:9A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-4397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:957 UTICA AVE
Practice Address - Street 2:9A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-4397
Practice Address - Country:US
Practice Address - Phone:347-796-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3153711164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse