Provider Demographics
NPI:1811071145
Name:RICE-LARRY, DIANN MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:DIANN
Middle Name:MARIE
Last Name:RICE-LARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DIANN
Other - Middle Name:MARIE
Other - Last Name:RICE-LARRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:4500 S. LANCASTER RD.
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-1721
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:4500 S. LANCASTER RD.
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242891163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health