MEDICARE: SARAH ELIZABETH TRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	207444	LA

General Provider Information

NPI Number	:	1053277160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH TRICE

Provider Business Mailing Address
First Line	:	3626 AMITE RIVER DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-6358
Country	:	US
Telephone Number	:	318-401-4671
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 AMITE RIVER DR
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-6358
Country	:	US
Telephone Number	:	318-401-4671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “ SARAH ELIZABETH TRICE ” Practice Location

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