1215960505 NPI number — MRS. LORETTA JEAN RICE APRN, GNP-BC

Table of content: MRS. LORETTA JEAN RICE APRN, GNP-BC (NPI 1215960505)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215960505 NPI number — MRS. LORETTA JEAN RICE APRN, GNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICE
Provider First Name:
LORETTA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, GNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEINKOHL
Provider Other First Name:
LORETTA
Provider Other Middle Name:
J
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215960505
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 COULTER ROAD
Provider Second Line Business Mailing Address:
CLIFTON SPRINGS HOSPITAL AND CLINIC
Provider Business Mailing Address City Name:
CLIFTON SPRINGS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-462-9561
Provider Business Mailing Address Fax Number:
315-462-0582

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 COULTER RD
Provider Second Line Business Practice Location Address:
CLIFTON SPRINGS HOSPITAL AND CLINIC
Provider Business Practice Location Address City Name:
CLIFTON SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-462-9561
Provider Business Practice Location Address Fax Number:
315-462-0582
Provider Enumeration Date:
07/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  340570 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RG0300X , with the licence number: F340570-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RG0300X , with the licence number: 363000-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: RN165316 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)