Provider Demographics
NPI:1033213202
Name:RICE, LINDA M (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:RICE
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:119 HOSEA FISHER LN
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-9317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:580 COURT STREET THE CHESHIRE MEDICAL CENTER
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-354-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053031-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH053031-23-03OtherNH LICENSE
NH053031-21OtherRN LICENSE
VT101-0012831OtherVT LICENSE
VTMR0156655OtherDEA CERTIFICATE
R97419Medicare UPIN