Provider Demographics
NPI:1851070411
Name:RICE, BRITTNEY (MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 SPUR CROSS AVE
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-4980
Mailing Address - Country:US
Mailing Address - Phone:928-377-7004
Mailing Address - Fax:
Practice Address - Street 1:3606 SPUR CROSS AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-4980
Practice Address - Country:US
Practice Address - Phone:928-377-7004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ222078363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health