Provider Demographics
NPI:1336422666
Name:RICE, MARSHELLE DARCEL (LPN)
Entity type:Individual
Prefix:MS
First Name:MARSHELLE
Middle Name:DARCEL
Last Name:RICE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 GROSVENOR RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2382
Mailing Address - Country:US
Mailing Address - Phone:216-990-7788
Mailing Address - Fax:
Practice Address - Street 1:3753 GROSVENOR RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-2382
Practice Address - Country:US
Practice Address - Phone:216-990-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse