Individual
TAYLOR DIANN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 320, FORT WAYNE, IN 46845-1733
(260) 266-5300
(260) 266-5314
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28251256A
IN
363L00000X
Nurse Practitioner
Primary
71014454A
IN
Other
Enumeration date
09/07/2023
Last updated
01/02/2024
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