Healthcare Provider Details

I. General information

NPI: 1912541327
Provider Name (Legal Business Name): HEATHER RICE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MOUNTAIN VIEW CIR
THURMONT MD
21788-1739
US

IV. Provider business mailing address

8 MOUNTAIN VIEW CIR
THURMONT MD
21788-1739
US

V. Phone/Fax

Practice location:
  • Phone: 240-626-9936
  • Fax: 855-514-6211
Mailing address:
  • Phone: 240-626-9936
  • Fax: 855-514-6211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberR207912
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW010556
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: