Provider Demographics
NPI:1992788681
Name:RICE, REBECCA (CNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2802
Mailing Address - Country:US
Mailing Address - Phone:513-721-7635
Mailing Address - Fax:513-824-7843
Practice Address - Street 1:2314 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2802
Practice Address - Country:US
Practice Address - Phone:513-721-7635
Practice Address - Fax:513-824-7843
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.07158363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0000000340514OtherANTHEM PIN
KY78012747Medicaid
KY0728806Medicare PIN
KY0612907Medicare PIN
KY0613008Medicare PIN
KY0000000340514OtherANTHEM PIN
KY78012747Medicaid