Provider Demographics
NPI:1043547300
Name:RICE, ELIZABETH GA (ND)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GA
Last Name:RICE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 E HALE ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-4008
Mailing Address - Country:US
Mailing Address - Phone:480-276-3808
Mailing Address - Fax:480-447-9727
Practice Address - Street 1:2067 E HALE ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-4008
Practice Address - Country:US
Practice Address - Phone:480-276-3808
Practice Address - Fax:480-447-9727
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1154175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath