Provider Demographics
NPI:1033978192
Name:RICE, KRISTI ELIZABETH ANN
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:ELIZABETH ANN
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 BRIDLE PATH RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-5757
Mailing Address - Country:US
Mailing Address - Phone:712-333-1434
Mailing Address - Fax:
Practice Address - Street 1:147 BRIDLE PATH RD
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-5757
Practice Address - Country:US
Practice Address - Phone:712-333-1434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001305124163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse