Healthcare Provider Details

I. General information

NPI: 1629466420
Provider Name (Legal Business Name): CHRISTIANE ELIZABETH WAKE RICE RDN, CDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTIANE ELIZABETH WAKE

II. Dates (important events)

Enumeration Date: 12/31/2014
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 GOODLETTE-FRANK RD N STE 101
NAPLES FL
34103-4595
US

IV. Provider business mailing address

2450 GOODLETTE-FRANK RD N STE 101
NAPLES FL
34103-4595
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-8470
  • Fax:
Mailing address:
  • Phone: 239-624-8470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1027068
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: