Provider Demographics
NPI:1376862219
Name:BRICE, JOANNE NICHOLE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:NICHOLE
Last Name:BRICE
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4086
Mailing Address - Country:US
Mailing Address - Phone:443-496-5096
Mailing Address - Fax:
Practice Address - Street 1:507 DOVER RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4086
Practice Address - Country:US
Practice Address - Phone:443-496-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD39299821744P3200X
MD23-0156246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management