Healthcare Provider Details

I. General information

NPI: 1629998562
Provider Name (Legal Business Name): MICHELLE CAROLE RICE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENESYS PKWY
GRAND BLANC MI
48439-8065
US

IV. Provider business mailing address

1313 NORFOLK AVE
GRAND BLANC MI
48439-5171
US

V. Phone/Fax

Practice location:
  • Phone: 810-606-5933
  • Fax:
Mailing address:
  • Phone: 586-344-8792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704258705
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: