Provider Demographics
NPI:1861678179
Name:RICE, CAROL ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:RICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:AMBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5201 RAYMOND ST.
Mailing Address - Street 2:LAKEMONT CAMPUS ROOM 313
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803
Mailing Address - Country:US
Mailing Address - Phone:407-646-4759
Mailing Address - Fax:407-646-4319
Practice Address - Street 1:5201 RAYMOND ST.
Practice Address - Street 2:LAKEMONT CAMPUS ROOM 313
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-646-4759
Practice Address - Fax:407-646-4319
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1660132163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse