Provider Demographics
NPI:1215960505
Name:RICE, LORETTA JEAN (APRN, GNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:JEAN
Last Name:RICE
Suffix:
Gender:F
Credentials:APRN, GNP-BC
Other - Prefix:
Other - First Name:LORETTA
Other - Middle Name:J
Other - Last Name:STEINKOHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 COULTER ROAD
Mailing Address - Street 2:CLIFTON SPRINGS HOSPITAL AND CLINIC
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432
Mailing Address - Country:US
Mailing Address - Phone:315-462-9561
Mailing Address - Fax:315-462-0582
Practice Address - Street 1:2 COULTER RD
Practice Address - Street 2:CLIFTON SPRINGS HOSPITAL AND CLINIC
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432
Practice Address - Country:US
Practice Address - Phone:315-462-9561
Practice Address - Fax:315-462-0582
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340570363L00000X
NYF340570-1207RG0300X
NY363000-1207RG0300X
AZRN165316363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ143467Medicare PIN