Provider Demographics
NPI:1326482191
Name:RICE, AUDREY DELORIS (ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:DELORIS
Last Name:RICE
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:MRS
Other - First Name:AUDREY
Other - Middle Name:SCOTT
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-C
Mailing Address - Street 1:1502 W NC HIGHWAY 54
Mailing Address - Street 2:STE 103
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5572
Mailing Address - Country:US
Mailing Address - Phone:828-325-0950
Mailing Address - Fax:828-325-0248
Practice Address - Street 1:2365 SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3067
Practice Address - Country:US
Practice Address - Phone:828-325-0950
Practice Address - Fax:828-325-0248
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA1112039363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner