Individual
BRIAN ANDREW ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4437 STATE ROUTE 159 STE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-4570
(740) 779-4579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359821
—
OH
Enumeration date
06/27/2019
Last updated
09/29/2022
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