Individual
CYNTHIA MARIE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCNP
Contact information
Practice address
1553 E CENTER ST, POCATELLO, ID 83201-4135
(208) 233-9355
Mailing address
1553 E CENTER ST, POCATELLO, ID 83201-4135
(208) 233-9355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
N16480
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004383300
—
ID
01
—
BLUE CROSS
BLUE CROSS
ID
Enumeration date
08/23/2005
Last updated
11/12/2008
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