MEDICARE: DR. MICHAEL JOHN RICE PHD APRN-NP BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP2504	AZ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN046027	AZ
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	111006	NE

General Provider Information

NPI Number	:	1225039241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN RICE PHD APRN-NP BC

Provider Business Mailing Address
First Line	:	UNMC COLLEGE OF NURSING
Second Line	:	985330 NEBRASKA MEDICAL CENTER
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-5464
Fax Number	:	402-559-7570

Provider Business Practice Location Address
First Line	:	UNMC COLLEGE OF NURSING
Second Line	:	985330 NEBRASKA MEDICAL CENTER
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-5464
Fax Number	:	402-559-7570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/11/2009

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