Healthcare Provider Details

I. General information

NPI: 1568015964
Provider Name (Legal Business Name): ARLENE RICE RRT-RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 S RAEFORD RD
FAYETTEVILLE NC
28304-6162
US

IV. Provider business mailing address

7300 S RAEFORD RD
FAYETTEVILLE NC
28304-6162
US

V. Phone/Fax

Practice location:
  • Phone: 910-475-6725
  • Fax: 910-867-8343
Mailing address:
  • Phone: 910-756-7254
  • Fax: 910-867-8343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberA-1571
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: