Healthcare Provider Details

I. General information

NPI: 1700915832
Provider Name (Legal Business Name): DEBORAH A RICE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44900 60TH ST W
LANCASTER CA
93536-7618
US

IV. Provider business mailing address

6202 W AVENUE N
PALMDALE CA
93551-2849
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-8581
  • Fax: 661-945-8474
Mailing address:
  • Phone: 661-943-3965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP4589
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN282646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: