Provider Demographics
NPI:1225246713
Name:RICE, EMILY A (PA)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:A
Last Name:RICE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 BARD RD
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-9331
Mailing Address - Country:US
Mailing Address - Phone:802-442-8649
Mailing Address - Fax:802-442-8658
Practice Address - Street 1:160 BENMONT AVE
Practice Address - Street 2:SUITE 22
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1873
Practice Address - Country:US
Practice Address - Phone:802-442-8649
Practice Address - Fax:802-442-8658
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0550030587363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT9000115Medicaid
VTP61214Medicare UPIN
VT9000115Medicaid