Healthcare Provider Details

I. General information

NPI: 1972264018
Provider Name (Legal Business Name): ANDREW RICE DNP, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 W EXECUTIVE PKWY STE 300
LEHI UT
84043-4911
US

IV. Provider business mailing address

3098 W EXECUTIVE PKWY STE 300
LEHI UT
84048-4911
US

V. Phone/Fax

Practice location:
  • Phone: 801-349-2480
  • Fax:
Mailing address:
  • Phone: 801-349-2480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9047281-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9074281-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: