Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R086644 | MD |
NPI | 1023000973 |
---|---|
Provider Name | Ms. Patricia A. Rice |
First Address | Baltimore, MD 21297-3086 |
Second Address | Frederick, MD 21702-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P06392 | (02) | MD |