Healthcare Provider Details

I. General information

NPI: 1285363739
Provider Name (Legal Business Name): HANNA RICE RDN, CSOWM, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST STE 260
AKRON OH
44304-2200
US

IV. Provider business mailing address

1334 CHEVERTON AVE
LOUISVILLE OH
44641-2277
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-6594
  • Fax:
Mailing address:
  • Phone: 330-614-9701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number7536
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: