Doctor Name: | MRS. NATASCHA R RICE |
NPI Number: | 1629409362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 2013035192 |
Business Practice Address: | 1835 Kingshighway East Saint Louis, IL - 622042135 |
Business Phone Number: | 6184827922 |
Business Fax Number: | |
Mailing Address: | 112 Archview Dr, BELLEVILLE |
State: | IL |
Postal Code: | 622210422 |
Phone Number: | 5025449450 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2013 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2013035192 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |