MEDICARE: MR. JAMES R. RICE APNP

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	363L00000X	Nurse Practitioner	1311-033	WI
2	163W00000X	Registered Nurse	97900-030	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1311-033	OTHER	WI	APNP - LICENSE
2	97900-030	OTHER	WI	RN - LICENSE

General Provider Information

NPI Number	:	1689885303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES R. RICE APNP

Provider Business Mailing Address
First Line	:	2015 E NEWPORT AVE
Second Line	:	SUITE 409
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-2984
Country	:	US
Telephone Number	:	414-259-3900
Fax Number	:	414-963-0000

Provider Business Practice Location Address
First Line	:	2015 E NEWPORT AVE
Second Line	:	SUITE 409
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-2984
Country	:	US
Telephone Number	:	414-259-3900
Fax Number	:	414-963-0000

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	01/06/2026

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Directions to “ MR. JAMES R. RICE APNP” Practice Location

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