Provider Demographics
NPI:1073939195
Name:RICE, DIANNE (CMA)
Entity Type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 NORMAL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5261
Mailing Address - Country:US
Mailing Address - Phone:402-261-4017
Mailing Address - Fax:
Practice Address - Street 1:3901 NORMAL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5261
Practice Address - Country:US
Practice Address - Phone:402-261-4017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator