Individual
MRS. COLLEEN NICOLE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7505 OSLER DR STE 104, TOWSON, MD 21204-7737
(410) 337-8888
(410) 823-4833
Mailing address
10800 WILL PAINTER DR, OWINGS MILLS, MD 21117-5124
(443) 243-3747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005317
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0005317
PA-C LICENSE
MD
Enumeration date
02/03/2014
Last updated
03/08/2019
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