Provider Demographics
NPI:1225039241
Name:RICE, MICHAEL JOHN (PHD APRN-NP BC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:RICE
Suffix:
Gender:M
Credentials:PHD APRN-NP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNMC COLLEGE OF NURSING
Mailing Address - Street 2:985330 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-0001
Mailing Address - Country:US
Mailing Address - Phone:402-559-5464
Mailing Address - Fax:402-559-7570
Practice Address - Street 1:UNMC COLLEGE OF NURSING
Practice Address - Street 2:985330 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-0001
Practice Address - Country:US
Practice Address - Phone:402-559-5464
Practice Address - Fax:402-559-7570
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2504363LP0808X
AZRN046027363LP0808X
NE111006363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S10921Medicare UPIN
319000189Medicare ID - Type UnspecifiedIND