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Individual

HEATHER M RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP, R.N.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 357309 1
OH
363L00000X
Nurse Practitioner
Primary
COA 18627 NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COA 18627 NP
STATE LICENSE
OH
01
RN 357309 1
STATE LICENSE
OH
Enumeration date
04/07/2016
Last updated
04/07/2016
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