Provider Demographics
NPI:1912541327
Name:RICE, HEATHER (CNM)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MOUNTAIN VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-1739
Mailing Address - Country:US
Mailing Address - Phone:240-626-9936
Mailing Address - Fax:855-514-6211
Practice Address - Street 1:8 MOUNTAIN VIEW CIR
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-1739
Practice Address - Country:US
Practice Address - Phone:240-626-9936
Practice Address - Fax:855-514-6211
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR207912176B00000X
PAMW010556176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife