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NPI Code Detail

MEDICARE: DOMENICA RICE CNM, ARNP

MEDICARE: DOMENICA RICE CNM, ARNP
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
1363LW0102XWomen's Health Nurse Practitioner: AP30005971WA
2367A00000XAdvanced Practice MidwifeAP30005971WA
3163W00000XRegistered NurseRN00123713WA

General Provider Information

NPI Number : 1770520231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMENICA RICE CNM, ARNP
Provider Business Mailing Address
First Line : 905 SPRUCE ST STE 300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2474
Country : US
Telephone Number : 206-548-3114
Fax Number :
Provider Business Practice Location Address
First Line : 415 N 85TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3701
Country : US
Telephone Number : 206-782-8660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 11/11/2016

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