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NPI Code Detail

MEDICARE: TINA R. RICE RN

MEDICARE: TINA R. RICE RN
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
1163W00000XRegistered Nurse98560TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
198560OTHERTNRN

General Provider Information

NPI Number : 1750504098
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA R. RICE RN
Provider Business Mailing Address
First Line : 108 DAVID COLLINS DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-2813
Country : US
Telephone Number : 615-355-6175
Fax Number : 615-459-7996
Provider Business Practice Location Address
First Line : 108 DAVID COLLINS DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-2813
Country : US
Telephone Number : 615-355-6175
Fax Number : 615-459-7996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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