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NPI Code Detail

MEDICARE: JAMES ELLIOTT RICE RN MS NP-C AOCNP

MEDICARE: JAMES ELLIOTT RICE RN MS NP-C AOCNP
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
1363LF0000XFamily Nurse Practitioner118535CO

General Provider Information

NPI Number : 1336300615
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ELLIOTT RICE RN MS NP-C AOCNP
Provider Business Mailing Address
First Line : 569 32 RD STE 12
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Provider Business Practice Location Address
First Line : 569 32 RD STE 12
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 07/21/2022

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