| Doctor Name: | MRS. PATRICIA ANN RICE |
| NPI Number: | 1003285032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209013054 |
| Business Practice Address: | 695 N Kellogg St Emergency Department Galesburg, IL - 614012807 |
| Business Phone Number: | 3093454223 |
| Business Fax Number: | 3093454403 |
| Mailing Address: | 401 Sw Water St, Suite # 509 PEORIA |
| State: | IL |
| Postal Code: | 616021571 |
| Phone Number: | 3099991090 |
| Fax Number: | 3099991094 |
| NPI Enumeration Date: | 09/21/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209013054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |